Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.33 / $607.87 / $14,464.32	Facility		$275.33	$607.87	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.65 / $209.40 / $543.23	Professional		$126.65	$209.40	$543.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.69 / $159.69 / $159.69	Professional		$159.69	$159.69	$159.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $426.86 / $1,993.85 / $4,409.49	Facility		$426.86	$1,993.85	$4,409.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $205.51 / $444.12 / $1,705.60	Professional		$205.51	$444.12	$1,705.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $421.10 / $731.00	Facility		$228.28	$421.10	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.26 / $319.45 / $611.47	Professional		$190.26	$319.45	$611.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $192.15 / $318.50 / $579.04	Facility		$192.15	$318.50	$579.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.05 / $335.03 / $552.64	Professional		$203.05	$335.03	$552.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.35 / $329.93 / $581.00	Professional		$58.35	$329.93	$581.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $217.53 / $326.97 / $456.27	Facility		$217.53	$326.97	$456.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.28 / $308.49 / $314.87	Facility		$139.28	$308.49	$314.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.15 / $353.63 / $577.17	Professional		$209.15	$353.63	$577.17
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 $200.51 / $314.62 / $533.29	Professional		$200.51	$314.62	$533.29
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 $270.00 / $339.03 / $662.34	Professional		$270.00	$339.03	$662.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.97 / $161.97 / $255.50	Professional		$161.97	$161.97	$255.50