Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.32 / $902.00 / $6,522.00	Facility		$280.32	$902.00	$6,522.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $227.81 / $596.03	Professional		$135.00	$227.81	$596.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $211.50 / $273.97 / $704.19	Professional		$211.50	$273.97	$704.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $222.50 / $1,104.92 / $2,161.55	Facility		$222.50	$1,104.92	$2,161.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $213.28 / $498.32 / $1,954.56	Professional		$213.28	$498.32	$1,954.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.19 / $281.19 / $427.51	Facility		$281.19	$281.19	$427.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.31 / $342.39 / $703.83	Professional		$194.31	$342.39	$703.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $213.00 / $340.41 / $598.74	Facility		$213.00	$340.41	$598.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.38 / $352.20 / $618.14	Professional		$216.38	$352.20	$618.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.58 / $269.22 / $598.18	Professional		$44.58	$269.22	$598.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $250.23 / $429.81 / $529.97	Facility		$250.23	$429.81	$529.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.99 / $357.87 / $361.49	Facility		$149.99	$357.87	$361.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.38 / $379.20 / $660.13	Professional		$213.38	$379.20	$660.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $732.75 / $1,129.34 / $2,161.55	Facility		$732.75	$1,129.34	$2,161.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.20 / $364.98 / $612.23	Professional		$204.20	$364.98	$612.23
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.63 / $354.50 / $752.41	Professional		$279.63	$354.50	$752.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $166.04 / $166.04 / $294.30	Professional		$166.04	$166.04	$294.30