Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.19 / $319.42 / $12,214.00	Facility		$130.19	$319.42	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $99.79 / $219.25	Professional		$66.73	$99.79	$219.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.72 / $123.72 / $123.72	Professional		$123.72	$123.72	$123.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $158.10 / $323.95 / $12,000.00	Facility		$158.10	$323.95	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $102.28 / $223.92 / $859.36	Professional		$102.28	$223.92	$859.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.10 / $731.00 / $731.00	Facility		$421.10	$731.00	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.91 / $159.30 / $307.67	Professional		$89.91	$159.30	$307.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $102.00 / $166.25 / $280.68	Facility		$102.00	$166.25	$280.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.64 / $172.82 / $298.64	Professional		$104.64	$172.82	$298.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $150.05 / $267.18	Professional		$27.11	$150.05	$267.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $129.00 / $217.60 / $233.83	Facility		$129.00	$217.60	$233.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.10 / $158.10 / $159.49	Facility		$158.10	$158.10	$159.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.76 / $168.18 / $292.36	Professional		$101.76	$168.18	$292.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $580.97 / $580.97 / $731.93	Facility		$580.97	$580.97	$731.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $161.24 / $270.13	Professional		$97.94	$161.24	$270.13
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 $137.19 / $178.36 / $338.98	Professional		$137.19	$178.36	$338.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $74.98 / $127.46	Professional		$74.98	$74.98	$127.46