Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.22 / $638.83 / $5,116.62	Facility		$136.22	$638.83	$5,116.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $135.24 / $326.23	Professional		$80.00	$135.24	$326.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.11 / $114.11 / $114.11	Professional		$114.11	$114.11	$114.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $104.05 / $628.16 / $1,304.66	Facility		$104.05	$628.16	$1,304.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $133.18 / $210.56 / $899.40	Professional		$133.18	$210.56	$899.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.90 / $500.00 / $568.48	Facility		$137.90	$500.00	$568.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.02 / $172.41 / $299.57	Professional		$99.02	$172.41	$299.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $92.92 / $176.71 / $324.47	Facility		$92.92	$176.71	$324.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $169.89 / $277.08	Professional		$90.04	$169.89	$277.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $121.63 / $238.37	Professional		$23.71	$121.63	$238.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $153.33 / $203.68 / $260.69	Facility		$153.33	$203.68	$260.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.41 / $140.88 / $144.41	Facility		$44.41	$140.88	$144.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.09 / $189.60 / $260.89	Professional		$135.09	$189.60	$260.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $433.36 / $667.91 / $1,278.36	Facility		$433.36	$667.91	$1,278.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $118.65 / $176.12 / $251.35	Professional		$118.65	$176.12	$251.35
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 $121.38 / $172.35 / $297.36	Professional		$121.38	$172.35	$297.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.21 / $86.41 / $115.41	Professional		$86.21	$86.41	$115.41