Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.97 / $2,769.52 / $11,522.02	Facility		$251.97	$2,769.52	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.67 / $167.30 / $425.59	Professional		$79.67	$167.30	$425.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $88.96 / $164.58	Professional		$73.06	$88.96	$164.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $247.24 / $4,591.92 / $9,102.00	Facility		$247.24	$4,591.92	$9,102.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $187.58 / $363.05 / $1,338.80	Professional		$187.58	$363.05	$1,338.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.37 / $421.10 / $731.00	Facility		$176.37	$421.10	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.67 / $263.64 / $479.68	Professional		$170.67	$263.64	$479.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $169.52 / $273.24 / $444.65	Facility		$169.52	$273.24	$444.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.52 / $277.45 / $433.36	Professional		$170.52	$277.45	$433.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.29 / $246.96 / $462.61	Professional		$46.29	$246.96	$462.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.21 / $241.28 / $352.82	Facility		$165.21	$241.28	$352.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.79 / $242.36 / $247.24	Facility		$103.79	$242.36	$247.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.70 / $321.29 / $453.20	Professional		$192.70	$321.29	$453.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,979.36 / $4,591.92 / $8,788.86	Facility		$2,979.36	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $183.41 / $269.52 / $430.09	Professional		$183.41	$269.52	$430.09
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $887.00 / $4,611.00	Facility		$350.00	$887.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.91 / $265.72 / $513.30	Professional		$205.91	$265.72	$513.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.66 / $151.66 / $200.59	Professional		$151.66	$151.66	$200.59