Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.34 / $1,733.00 / $10,809.00	Facility		$196.34	$1,733.00	$10,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.56 / $137.86 / $324.93	Professional		$86.56	$137.86	$324.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.49 / $115.49 / $115.49	Professional		$115.49	$115.49	$115.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $197.88 / $1,993.85 / $5,158.68	Facility		$197.88	$1,993.85	$5,158.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $148.32 / $288.69 / $1,072.16	Professional		$148.32	$288.69	$1,072.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.21 / $421.10 / $731.00	Facility		$156.21	$421.10	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.30 / $206.54 / $385.96	Professional		$132.30	$206.54	$385.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $129.19 / $208.79 / $351.48	Facility		$129.19	$208.79	$351.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.68 / $215.86 / $349.84	Professional		$132.68	$215.86	$349.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $174.43 / $324.46	Professional		$31.89	$174.43	$324.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.65 / $201.93 / $280.31	Facility		$147.65	$201.93	$280.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.06 / $193.88 / $197.88	Facility		$90.06	$193.88	$197.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.28 / $251.48 / $362.72	Professional		$152.28	$251.48	$362.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,292.92 / $1,992.71 / $3,814.01	Facility		$1,292.92	$1,992.71	$3,814.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $142.76 / $210.76 / $339.53	Professional		$142.76	$210.76	$339.53
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 $162.77 / $212.44 / $416.12	Professional		$162.77	$212.44	$416.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $121.21 / $121.21 / $161.07	Professional		$121.21	$121.21	$161.07