Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.69 / $466.27 / $13,750.00	Facility		$224.69	$466.27	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.51 / $158.96 / $388.16	Professional		$113.51	$158.96	$388.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $242.96 / $242.96 / $242.96	Professional		$242.96	$242.96	$242.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $225.59 / $564.64 / $12,000.00	Facility		$225.59	$564.64	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $175.20 / $337.44 / $1,249.20	Professional		$175.20	$337.44	$1,249.20
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 $157.59 / $255.27 / $443.14	Professional		$157.59	$255.27	$443.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $170.19 / $270.66 / $407.57	Facility		$170.19	$270.66	$407.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.35 / $279.04 / $424.48	Professional		$176.35	$279.04	$424.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $250.50 / $441.36	Professional		$45.17	$250.50	$441.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $216.03 / $311.12 / $338.64	Facility		$216.03	$311.12	$338.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.59 / $225.59 / $230.33	Facility		$225.59	$225.59	$230.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.28 / $292.73 / $422.20	Professional		$177.28	$292.73	$422.20
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 $168.63 / $244.97 / $401.06	Professional		$168.63	$244.97	$401.06
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 $209.71 / $263.12 / $500.25	Professional		$209.71	$263.12	$500.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.33 / $131.33 / $182.64	Professional		$131.33	$131.33	$182.64