Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.15 / $491.98 / $14,464.32	Facility		$224.15	$491.98	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.35 / $175.23 / $331.65	Professional		$111.35	$175.23	$331.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.85 / $233.85 / $233.85	Professional		$233.85	$233.85	$233.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $311.31 / $567.35 / $1,107.58	Facility		$311.31	$567.35	$1,107.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $170.61 / $365.07 / $1,412.72	Professional		$170.61	$365.07	$1,412.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.15 / $259.10 / $504.99	Professional		$155.15	$259.10	$504.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $172.63 / $277.02 / $469.30	Facility		$172.63	$277.02	$469.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $280.14 / $469.85	Professional		$178.00	$280.14	$469.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.29 / $246.96 / $462.61	Professional		$46.29	$246.96	$462.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $215.19 / $346.39 / $381.23	Facility		$215.19	$346.39	$381.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.68 / $253.68 / $260.02	Facility		$253.68	$253.68	$260.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.68 / $291.77 / $476.65	Professional		$170.68	$291.77	$476.65
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 $162.62 / $258.72 / $440.41	Professional		$162.62	$258.72	$440.41
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 $223.44 / $276.64 / $537.70	Professional		$223.44	$276.64	$537.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $131.88 / $210.80	Professional		$131.88	$131.88	$210.80