Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.57 / $730.77 / $13,750.00	Facility		$313.57	$730.77	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.04 / $220.37 / $444.04	Professional		$119.04	$220.37	$444.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.03 / $103.03 / $261.22	Professional		$103.03	$103.03	$261.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $348.69 / $1,993.85 / $5,158.68	Facility		$348.69	$1,993.85	$5,158.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $233.93 / $490.73 / $1,889.68	Professional		$233.93	$490.73	$1,889.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $246.93 / $421.10 / $731.00	Facility		$246.93	$421.10	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.64 / $360.58 / $676.53	Professional		$216.64	$360.58	$676.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $221.40 / $367.05 / $635.54	Facility		$221.40	$367.05	$635.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.30 / $381.27 / $609.80	Professional		$232.30	$381.27	$609.80
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 $232.16 / $404.14 / $511.21	Facility		$232.16	$404.14	$511.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.33 / $339.75 / $348.69	Facility		$152.33	$339.75	$348.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.29 / $399.21 / $639.16	Professional		$238.29	$399.21	$639.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,454.88 / $1,992.71 / $3,814.01	Facility		$1,454.88	$1,992.71	$3,814.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $227.77 / $346.50 / $590.55	Professional		$227.77	$346.50	$590.55
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 $304.50 / $377.00 / $728.26	Professional		$304.50	$377.00	$728.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $184.14 / $184.14 / $282.39	Professional		$184.14	$184.14	$282.39