Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.22 / $2,064.40 / $22,024.00	Facility		$316.22	$2,064.40	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.65 / $400.42 / $1,534.40	Professional		$238.65	$400.42	$1,534.40
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $52.06 / $152.32 / $313.02	Professional	AS	$52.06	$152.32	$313.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.29 / $358.02 / $659.60	Professional		$233.29	$358.02	$659.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,040.23 / $5,000.00	Facility		$55.00	$1,040.23	$5,000.00
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $220.50 / $732.30 / $732.30	Facility	62	$220.50	$732.30	$732.30
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $35.28 / $117.17 / $117.17	Facility	AS	$35.28	$117.17	$117.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $388.22 / $573.70 / $2,298.23	Professional		$388.22	$573.70	$2,298.23
Asuris Northwest Health Facility/Professional Professional Modifier AS Low / Median / High Price $53.44 / $66.64 / $97.72	Professional	AS	$53.44	$66.64	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.45 / $450.62 / $759.76	Professional		$271.45	$450.62	$759.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $253.40 / $476.17 / $639.98	Facility		$253.40	$476.17	$639.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.74 / $476.17 / $647.19	Professional		$238.74	$476.17	$647.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $345.16 / $603.66	Professional		$60.80	$345.16	$603.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $370.16 / $484.51 / $515.90	Facility		$370.16	$484.51	$515.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $344.73 / $344.73 / $351.89	Facility		$344.73	$344.73	$351.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.60 / $563.14 / $698.47	Professional		$394.60	$563.14	$698.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $351.58 / $500.87 / $669.48	Professional		$351.58	$500.87	$669.48
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $648.00 / $6,216.00	Facility		$157.00	$648.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $320.89 / $433.38 / $741.49	Professional		$320.89	$433.38	$741.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.67 / $213.67 / $265.20	Professional		$213.67	$213.67	$265.20