Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.08 / $611.34 / $14,464.32	Facility		$277.08	$611.34	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.71 / $211.06 / $398.12	Professional		$135.71	$211.06	$398.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $237.52 / $237.52	Professional		$237.52	$237.52	$237.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $315.79 / $1,993.85 / $5,158.68	Facility		$315.79	$1,993.85	$5,158.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $209.28 / $446.71 / $1,709.52	Professional		$209.28	$446.71	$1,709.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.78 / $421.10 / $731.00	Facility		$228.78	$421.10	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.02 / $320.93 / $613.04	Professional		$191.02	$320.93	$613.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $193.50 / $320.00 / $583.66	Facility		$193.50	$320.00	$583.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.98 / $336.55 / $556.16	Professional		$203.98	$336.55	$556.16
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 $217.77 / $371.07 / $462.97	Facility		$217.77	$371.07	$462.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.61 / $309.39 / $315.79	Facility		$139.61	$309.39	$315.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.09 / $355.70 / $578.85	Professional		$210.09	$355.70	$578.85
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 $201.43 / $315.55 / $534.83	Professional		$201.43	$315.55	$534.83
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 $272.50 / $340.60 / $655.50	Professional		$272.50	$340.60	$655.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.26 / $163.26 / $256.77	Professional		$163.26	$163.26	$256.77