Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.44 / $553.57 / $14,464.32	Facility		$228.44	$553.57	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.19 / $201.09 / $474.62	Professional		$107.19	$201.09	$474.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $355.22 / $355.22 / $355.22	Professional		$355.22	$355.22	$355.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $273.29 / $4,591.92 / $9,102.00	Facility		$273.29	$4,591.92	$9,102.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $172.80 / $381.52 / $1,475.60	Professional		$172.80	$381.52	$1,475.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.10 / $421.10 / $731.00	Facility		$205.10	$421.10	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.81 / $266.73 / $530.89	Professional		$154.81	$266.73	$530.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $160.08 / $271.00 / $496.77	Facility		$160.08	$271.00	$496.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.50 / $285.20 / $482.76	Professional		$167.50	$285.20	$482.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.53 / $245.57 / $464.54	Professional		$46.53	$245.57	$464.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $196.65 / $292.13 / $397.98	Facility		$196.65	$292.13	$397.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.87 / $268.63 / $273.29	Facility		$122.87	$268.63	$273.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.37 / $301.22 / $500.85	Professional		$174.37	$301.22	$500.85
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 $166.32 / $273.97 / $462.85	Professional		$166.32	$273.97	$462.85
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $1,382.83 / $4,611.00	Facility		$350.00	$1,382.83	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $231.25 / $301.80 / $567.16	Professional		$231.25	$301.80	$567.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.80 / $134.80 / $222.01	Professional		$134.80	$134.80	$222.01