Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.27 / $840.00 / $9,703.00	Facility		$267.27	$840.00	$9,703.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.99 / $236.96 / $614.63	Professional		$145.99	$236.96	$614.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $212.52 / $260.10 / $545.66	Professional		$212.52	$260.10	$545.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $219.36 / $1,104.92 / $2,206.01	Facility		$219.36	$1,104.92	$2,206.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $209.35 / $488.95 / $1,960.40	Professional		$209.35	$488.95	$1,960.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.64 / $276.64 / $420.62	Facility		$276.64	$276.64	$420.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.72 / $337.71 / $705.15	Professional		$185.72	$337.71	$705.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $212.88 / $350.40 / $597.85	Facility		$212.88	$350.40	$597.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $215.93 / $359.70 / $615.96	Professional		$215.93	$359.70	$615.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $192.26 / $532.62	Professional		$34.96	$192.26	$532.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $268.30 / $431.97 / $531.30	Facility		$268.30	$431.97	$531.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.31 / $359.23 / $362.40	Facility		$146.31	$359.23	$362.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.89 / $370.47 / $662.63	Professional		$208.89	$370.47	$662.63
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 $194.50 / $362.08 / $613.78	Professional		$194.50	$362.08	$613.78
United Facility/Professional Facility Modifier Low / Median / High Price $588.00 / $1,428.96 / $2,700.28	Facility		$588.00	$1,428.96	$2,700.28
United Facility/Professional Professional Modifier Low / Median / High Price $294.77 / $373.87 / $767.56	Professional		$294.77	$373.87	$767.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.41 / $158.41 / $294.95	Professional		$158.41	$158.41	$294.95