Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.26 / $235.15 / $7,984.74	Facility		$55.26	$235.15	$7,984.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.66 / $53.46 / $174.47	Professional		$27.66	$53.46	$174.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $57.65 / $118.97	Professional		$23.38	$57.65	$118.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $79.06 / $567.02 / $1,107.58	Facility		$79.06	$567.02	$1,107.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $42.74 / $105.86 / $428.56	Professional		$42.74	$105.86	$428.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $72.81 / $153.59	Professional		$39.29	$72.81	$153.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $43.50 / $74.47 / $148.34	Facility		$43.50	$74.47	$148.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.05 / $76.06 / $140.88	Professional		$44.05	$76.06	$140.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $100.61 / $177.40	Professional		$18.00	$100.61	$177.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.85 / $102.18 / $115.91	Facility		$58.85	$102.18	$115.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $79.06	Facility		$76.09	$76.09	$79.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $79.06 / $143.91	Professional		$41.87	$79.06	$143.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $367.90 / $567.35 / $1,085.27	Facility		$367.90	$567.35	$1,085.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $76.64 / $132.03	Professional		$39.72	$76.64	$132.03
United Facility/Professional Facility Modifier Low / Median / High Price $531.29 / $710.68 / $1,367.56	Facility		$531.29	$710.68	$1,367.56
United Facility/Professional Professional Modifier Low / Median / High Price $65.52 / $85.02 / $162.46	Professional		$65.52	$85.02	$162.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.16 / $31.16 / $64.31	Professional		$31.16	$31.16	$64.31