Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.89 / $1,047.82 / $7,920.26	Facility		$367.89	$1,047.82	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.34 / $285.64 / $742.26	Professional		$187.34	$285.64	$742.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.57 / $255.39 / $649.63	Professional		$141.57	$255.39	$649.63
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 $276.22 / $605.46 / $2,348.96	Professional		$276.22	$605.46	$2,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.44 / $312.44 / $475.03	Facility		$312.44	$312.44	$475.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.97 / $426.06 / $842.04	Professional		$254.97	$426.06	$842.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $274.02 / $434.51 / $727.68	Facility		$274.02	$434.51	$727.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.04 / $449.23 / $759.64	Professional		$274.04	$449.23	$759.64
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 $317.29 / $532.35 / $635.83	Facility		$317.29	$532.35	$635.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.57 / $427.18 / $433.69	Facility		$150.57	$427.18	$433.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.58 / $487.17 / $794.98	Professional		$280.58	$487.17	$794.98
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 $268.42 / $435.67 / $734.53	Professional		$268.42	$435.67	$734.53
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 $357.90 / $450.85 / $902.51	Professional		$357.90	$450.85	$902.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $216.98 / $216.98 / $351.15	Professional		$216.98	$216.98	$351.15