Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.19 / $409.47 / $6,522.00	Facility		$91.19	$409.47	$6,522.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.89 / $141.81 / $347.33	Professional		$46.89	$141.81	$347.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $481.78 / $481.78 / $685.50	Professional	50	$481.78	$481.78	$685.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.72 / $84.96 / $295.93	Professional		$76.72	$84.96	$295.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $367.00 / $512.09	Facility		$55.00	$367.00	$512.09
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $768.14 / $768.14 / $768.14	Facility	50	$768.14	$768.14	$768.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $296.77 / $1,475.09	Professional		$88.06	$296.77	$1,475.09
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $118.23 / $237.40 / $452.49	Professional	50	$118.23	$237.40	$452.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $160.19 / $444.77	Professional		$62.01	$160.19	$444.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $72.11 / $131.72 / $355.23	Facility		$72.11	$131.72	$355.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.11 / $131.72 / $367.64	Professional		$72.11	$131.72	$367.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $270.99 / $455.28	Professional		$45.46	$270.99	$455.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $148.74 / $284.41 / $324.95	Facility		$148.74	$284.41	$324.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $221.65 / $221.65 / $229.67	Facility		$221.65	$221.65	$229.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.74 / $220.13 / $429.14	Professional		$87.74	$220.13	$429.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.08 / $182.89 / $368.36	Professional		$89.08	$182.89	$368.36
United Facility/Professional Facility Modifier Low / Median / High Price $414.00 / $666.00 / $6,216.00	Facility		$414.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $261.00 / $471.20	Professional		$159.94	$261.00	$471.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $51.49 / $179.35	Professional		$51.49	$51.49	$179.35