Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.54 / $394.77 / $11,522.02	Facility		$81.54	$394.77	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.32 / $73.22 / $216.83	Professional		$40.32	$73.22	$216.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $119.81 / $129.52	Professional		$74.56	$119.81	$129.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $82.88 / $786.75 / $1,605.58	Facility		$82.88	$786.75	$1,605.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $118.83 / $352.65	Professional		$69.37	$118.83	$352.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $500.00 / $568.48	Facility		$89.65	$500.00	$568.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.96 / $92.68 / $183.14	Professional		$52.96	$92.68	$183.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $87.72 / $151.44	Facility		$50.12	$87.72	$151.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $87.58 / $146.72	Professional		$50.12	$87.58	$146.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $101.72 / $178.72	Professional		$18.05	$101.72	$178.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.75 / $115.24 / $131.32	Facility		$70.75	$115.24	$131.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.60 / $86.07 / $89.57	Facility		$27.60	$86.07	$89.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.68 / $103.04 / $160.03	Professional		$68.68	$103.04	$160.03
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 $62.48 / $96.94 / $153.49	Professional		$62.48	$96.94	$153.49
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 $73.92 / $103.84 / $176.45	Professional		$73.92	$103.84	$176.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $54.38 / $72.55	Professional		$43.74	$54.38	$72.55