Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.81 / $562.87 / $6,470.00	Facility		$67.81	$562.87	$6,470.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $829.98 / $829.98 / $829.98	Facility	50	$829.98	$829.98	$829.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.01 / $67.91 / $193.62	Professional		$36.01	$67.91	$193.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.63 / $56.25 / $95.40	Professional		$50.63	$56.25	$95.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $72.03 / $820.72 / $1,856.26	Facility		$72.03	$820.72	$1,856.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $103.22 / $537.41	Professional		$63.00	$103.22	$537.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.36 / $500.00 / $568.48	Facility		$64.36	$500.00	$568.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.87 / $82.09 / $148.19	Professional		$45.87	$82.09	$148.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $41.62 / $76.62 / $136.34	Facility		$41.62	$76.62	$136.34
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $670.80 / $878.49 / $2,113.65	Facility	50	$670.80	$878.49	$2,113.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.62 / $76.62 / $128.34	Professional		$41.62	$76.62	$128.34
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 $65.40 / $102.73 / $107.44	Facility		$65.40	$102.73	$107.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $72.03 / $72.20	Facility		$21.08	$72.03	$72.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.06 / $91.41 / $131.69	Professional		$62.06	$91.41	$131.69
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 $57.95 / $85.08 / $127.23	Professional		$57.95	$85.08	$127.23
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $89.04 / $152.54	Professional		$64.00	$89.04	$152.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $43.34 / $57.35	Professional		$38.40	$43.34	$57.35