Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.64 / $699.00 / $14,464.32	Facility		$274.64	$699.00	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.68 / $240.16 / $508.81	Professional		$138.68	$240.16	$508.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.97 / $183.97 / $183.97	Professional		$183.97	$183.97	$183.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $294.45 / $4,277.26 / $8,788.86	Facility		$294.45	$4,277.26	$8,788.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $250.08 / $421.46 / $1,659.96	Professional		$250.08	$421.46	$1,659.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.80 / $500.00 / $568.48	Facility		$334.80	$500.00	$568.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.76 / $323.18 / $617.19	Professional		$181.76	$323.18	$617.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $174.00 / $305.95 / $516.85	Facility		$174.00	$305.95	$516.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $301.58 / $502.47	Professional		$174.00	$301.58	$502.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $282.31 / $500.67	Professional		$50.06	$282.31	$500.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $258.98 / $385.25 / $440.86	Facility		$258.98	$385.25	$440.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.63 / $294.45 / $326.20	Facility		$108.63	$294.45	$326.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.91 / $366.74 / $542.61	Professional		$246.91	$366.74	$542.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,979.36 / $4,591.92 / $8,788.86	Facility		$2,979.36	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $221.55 / $346.63 / $518.57	Professional		$221.55	$346.63	$518.57
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $1,382.83 / $4,611.00	Facility		$472.00	$1,382.83	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.50 / $337.68 / $618.46	Professional		$247.50	$337.68	$618.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.66 / $181.10 / $244.55	Professional		$163.66	$181.10	$244.55