Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.64 / $463.27 / $13,750.00	Facility		$203.64	$463.27	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.75 / $165.56 / $417.99	Professional		$88.75	$165.56	$417.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.46 / $177.01 / $369.80	Professional		$145.46	$177.01	$369.80
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 $155.57 / $343.66 / $1,335.04	Professional		$155.57	$343.66	$1,335.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.55 / $241.72 / $477.94	Professional		$141.55	$241.72	$477.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $157.60 / $252.96 / $441.13	Facility		$157.60	$252.96	$441.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $255.10 / $442.94	Professional		$162.00	$255.10	$442.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $238.67 / $473.38	Professional		$47.50	$238.67	$473.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $199.39 / $322.91 / $360.46	Facility		$199.39	$322.91	$360.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.09 / $240.09 / $245.87	Facility		$240.09	$240.09	$245.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.57 / $267.57 / $446.85	Professional		$155.57	$267.57	$446.85
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 $147.84 / $244.86 / $416.41	Professional		$147.84	$244.86	$416.41
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $648.00 / $5,793.00	Facility		$140.00	$648.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.42 / $268.08 / $517.52	Professional		$210.42	$268.08	$517.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.57 / $120.57 / $199.89	Professional		$120.57	$120.57	$199.89