Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.03 / $343.39 / $12,214.00	Facility		$153.03	$343.39	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.25 / $124.98 / $300.07	Professional		$74.25	$124.98	$300.07
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $35.72 / $57.44 / $159.56	Professional	52	$35.72	$57.44	$159.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.01 / $120.50 / $165.53	Professional		$108.01	$120.50	$165.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $311.31 / $567.02 / $1,107.58	Facility		$311.31	$567.02	$1,107.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $117.97 / $257.27 / $993.12	Professional		$117.97	$257.27	$993.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $180.80 / $357.49	Professional		$108.00	$180.80	$357.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.18 / $188.26 / $339.12	Facility		$117.18	$188.26	$339.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $194.09 / $339.12	Professional		$120.00	$194.09	$339.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $174.43 / $324.46	Professional		$31.89	$174.43	$324.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $242.54 / $268.67	Facility		$144.00	$242.54	$268.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.48 / $178.48 / $183.26	Facility		$178.48	$178.48	$183.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.97 / $197.73 / $335.92	Professional		$117.97	$197.73	$335.92
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 $109.96 / $182.03 / $310.37	Professional		$109.96	$182.03	$310.37
United Facility/Professional Facility Modifier Low / Median / High Price $531.29 / $710.68 / $1,367.56	Facility		$531.29	$710.68	$1,367.56
United Facility/Professional Professional Modifier Low / Median / High Price $156.24 / $193.44 / $384.27	Professional		$156.24	$193.44	$384.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.89 / $93.89 / $150.72	Professional		$93.89	$93.89	$150.72