Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.56 / $1,357.41 / $12,214.00	Facility		$247.56	$1,357.41	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $152.93 / $414.76	Professional		$76.80	$152.93	$414.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $155.44 / $179.74	Professional		$155.44	$155.44	$179.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $240.38 / $1,993.85 / $5,158.68	Facility		$240.38	$1,993.85	$5,158.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $360.31 / $1,300.00	Professional		$185.00	$360.31	$1,300.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.87 / $421.10 / $731.00	Facility		$175.87	$421.10	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.37 / $255.51 / $466.77	Professional		$167.37	$255.51	$466.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $163.68 / $262.95 / $426.02	Facility		$163.68	$262.95	$426.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.99 / $266.93 / $424.63	Professional		$163.99	$266.93	$424.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.96 / $228.31 / $409.24	Professional		$40.96	$228.31	$409.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $168.11 / $252.28 / $340.82	Facility		$168.11	$252.28	$340.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.11 / $235.56 / $240.38	Facility		$102.11	$235.56	$240.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.41 / $314.27 / $440.63	Professional		$189.41	$314.27	$440.63
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 $179.72 / $264.70 / $422.75	Professional		$179.72	$264.70	$422.75
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 $200.08 / $242.78 / $496.85	Professional		$200.08	$242.78	$496.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $148.53 / $148.53 / $194.31	Professional		$148.53	$148.53	$194.31