Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.65 / $241.14 / $6,470.00	Facility		$70.65	$241.14	$6,470.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.35 / $76.88 / $172.80	Professional		$48.35	$76.88	$172.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.82 / $125.67 / $142.10	Professional		$55.82	$125.67	$142.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $208.22 / $567.35 / $1,467.90	Facility		$208.22	$567.35	$1,467.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $141.96 / $506.56	Professional		$75.95	$141.96	$506.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $104.97 / $188.75	Professional		$65.70	$104.97	$188.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $69.69 / $112.79 / $183.40	Facility		$69.69	$112.79	$183.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $116.41 / $174.34	Professional		$74.50	$116.41	$174.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $67.08 / $153.90	Professional		$15.09	$67.08	$153.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.50 / $126.63 / $136.68	Facility		$81.50	$126.63	$136.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.15 / $90.15 / $93.23	Facility		$90.15	$90.15	$93.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $128.47 / $170.89	Professional		$79.70	$128.47	$170.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $367.90 / $567.35 / $1,085.27	Facility		$367.90	$567.35	$1,085.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.38 / $106.56 / $159.57	Professional		$74.38	$106.56	$159.57
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 $79.87 / $102.82 / $194.06	Professional		$79.87	$102.82	$194.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.42 / $61.42 / $76.81	Professional		$61.42	$61.42	$76.81