Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.20 / $2,812.16 / $14,767.26	Facility		$180.20	$2,812.16	$14,767.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.75 / $180.20 / $458.40	Professional		$132.75	$180.20	$458.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $203.19 / $222.51 / $257.30	Professional		$203.19	$222.51	$257.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $196.51 / $674.66	Facility		$55.00	$196.51	$674.66
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $20.02 / $65.55 / $65.55	Facility	AS	$20.02	$65.55	$65.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $205.41 / $327.19 / $1,902.24	Professional		$205.41	$327.19	$1,902.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $714.97 / $714.97	Facility		$714.97	$714.97	$714.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.13 / $258.80 / $429.54	Professional		$155.13	$258.80	$429.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $140.69 / $277.58 / $353.02	Facility		$140.69	$277.58	$353.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.16 / $281.49 / $365.16	Professional		$140.16	$281.49	$365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $241.53 / $423.96	Professional		$43.19	$241.53	$423.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $212.21 / $276.67 / $290.47	Facility		$212.21	$276.67	$290.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.88 / $193.88 / $196.51	Facility		$193.88	$193.88	$196.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.93 / $316.72 / $390.05	Professional		$220.93	$316.72	$390.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $197.74 / $279.70 / $375.26	Professional		$197.74	$279.70	$375.26
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 $178.08 / $233.20 / $415.15	Professional		$178.08	$233.20	$415.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $119.54 / $119.54 / $150.51	Professional		$119.54	$119.54	$150.51