Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.17 / $354.39 / $14,464.32	Facility		$111.17	$354.39	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $122.84 / $231.71	Professional		$68.31	$122.84	$231.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.45 / $99.45 / $99.45	Professional		$99.45	$99.45	$99.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $91.04 / $1,868.90 / $3,814.01	Facility		$91.04	$1,868.90	$3,814.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $92.07 / $229.25 / $915.44	Professional		$92.07	$229.25	$915.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.39 / $421.10 / $731.00	Facility		$115.39	$421.10	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.32 / $161.22 / $325.95	Professional		$87.32	$161.22	$325.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $96.13 / $171.89 / $318.13	Facility		$96.13	$171.89	$318.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $99.45 / $178.40 / $311.44	Professional		$99.45	$178.40	$311.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $150.05 / $267.18	Professional		$27.01	$150.05	$267.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $117.23 / $214.89 / $252.59	Facility		$117.23	$214.89	$252.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.34 / $166.25 / $167.72	Facility		$78.34	$166.25	$167.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.44 / $167.72 / $307.44	Professional		$86.44	$167.72	$307.44
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 $81.77 / $156.80 / $284.06	Professional		$81.77	$156.80	$284.06
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 $149.80 / $190.97 / $348.66	Professional		$149.80	$190.97	$348.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.08 / $63.08 / $135.30	Professional		$63.08	$63.08	$135.30