Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.32 / $822.80 / $7,920.26	Facility		$273.32	$822.80	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $270.37 / $607.69	Professional		$139.69	$270.37	$607.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.22 / $605.00 / $826.18	Professional		$139.22	$605.00	$826.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $224.92 / $1,130.00 / $2,206.01	Facility		$224.92	$1,130.00	$2,206.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $274.08 / $593.53 / $2,310.32	Professional		$274.08	$593.53	$2,310.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.41 / $309.41 / $470.43	Facility		$309.41	$309.41	$470.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.44 / $419.11 / $828.22	Professional		$250.44	$419.11	$828.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $256.06 / $425.95 / $714.03	Facility		$256.06	$425.95	$714.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.08 / $438.19 / $746.40	Professional		$269.08	$438.19	$746.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $235.51 / $665.56	Professional		$34.96	$235.51	$665.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $313.76 / $509.85 / $625.11	Facility		$313.76	$509.85	$625.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.57 / $419.93 / $426.38	Facility		$150.57	$419.93	$426.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $477.92 / $781.57	Professional		$275.42	$477.92	$781.57
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 $263.80 / $428.27 / $722.14	Professional		$263.80	$428.27	$722.14
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $414.00 / $5,793.00	Facility		$140.00	$414.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.91 / $453.07 / $884.45	Professional		$350.91	$453.07	$884.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.33 / $213.33 / $345.53	Professional		$213.33	$213.33	$345.53