Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.93 / $690.12 / $6,522.00	Facility		$80.93	$690.12	$6,522.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.96 / $77.09 / $282.00	Professional		$40.96	$77.09	$282.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $51.93 / $118.96	Professional		$48.03	$51.93	$118.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $82.90 / $820.72 / $1,856.26	Facility		$82.90	$820.72	$1,856.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $71.87 / $117.67 / $521.92	Professional		$71.87	$117.67	$521.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $500.00 / $568.48	Facility		$75.09	$500.00	$568.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.55 / $94.65 / $170.93	Professional		$51.55	$94.65	$170.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $47.46 / $87.98 / $157.78	Facility		$47.46	$87.98	$157.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $87.98 / $148.52	Professional		$47.46	$87.98	$148.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.13 / $101.72 / $178.72	Professional		$18.13	$101.72	$178.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $73.16 / $118.44 / $123.08	Facility		$73.16	$118.44	$123.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.58 / $82.90 / $83.17	Facility		$24.58	$82.90	$83.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $104.71 / $152.46	Professional		$71.48	$104.71	$152.46
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 $65.63 / $98.55 / $145.63	Professional		$65.63	$98.55	$145.63
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 $72.80 / $100.35 / $176.68	Professional		$72.80	$100.35	$176.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.69 / $49.97 / $66.18	Professional		$43.69	$49.97	$66.18