Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.58 / $248.87 / $11,522.02	Facility		$71.58	$248.87	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $72.36 / $249.16	Professional		$38.61	$72.36	$249.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.20 / $73.20 / $109.95	Professional	50	$73.20	$73.20	$109.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $93.69 / $116.61	Professional		$58.30	$93.69	$116.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $66.29 / $786.75 / $1,605.58	Facility		$66.29	$786.75	$1,605.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $110.37 / $429.84	Professional		$66.40	$110.37	$429.84
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $93.12 / $116.12 / $173.37	Professional	50	$93.12	$116.12	$173.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.95 / $500.00 / $568.48	Facility		$68.95	$500.00	$568.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $90.41 / $161.21	Professional		$50.95	$90.41	$161.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $46.46 / $85.96 / $148.34	Facility		$46.46	$85.96	$148.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.46 / $83.72 / $141.16	Professional		$46.46	$83.72	$141.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $101.72 / $178.72	Professional		$18.02	$101.72	$178.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $76.27 / $107.47 / $115.91	Facility		$76.27	$107.47	$115.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.08 / $77.92 / $79.06	Facility		$22.08	$77.92	$79.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.27 / $96.40 / $144.19	Professional		$65.27	$96.40	$144.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $544.28 / $838.87 / $1,605.58	Facility		$544.28	$838.87	$1,605.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.38 / $92.02 / $136.34	Professional		$60.38	$92.02	$136.34
United Facility/Professional Facility Modifier Low / Median / High Price $546.00 / $1,055.78 / $1,995.12	Facility		$546.00	$1,055.78	$1,995.12
United Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $87.82 / $160.71	Professional		$65.59	$87.82	$160.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $47.76 / $63.03	Professional		$40.14	$47.76	$63.03