Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.57 / $432.35 / $9,703.00	Facility		$132.57	$432.35	$9,703.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $162.43 / $414.38	Professional		$68.26	$162.43	$414.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $352.91 / $352.91 / $352.91	Professional		$352.91	$352.91	$352.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $520.12 / $575.91	Facility		$55.00	$520.12	$575.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $127.93 / $357.53 / $1,681.80	Professional		$127.93	$357.53	$1,681.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.43 / $208.38 / $533.41	Professional		$90.43	$208.38	$533.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $98.38 / $183.50 / $405.91	Facility		$98.38	$183.50	$405.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.68 / $187.84 / $453.73	Professional		$103.68	$187.84	$453.73
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 $187.66 / $329.12 / $391.28	Facility		$187.66	$329.12	$391.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.89 / $266.89 / $272.25	Facility		$266.89	$266.89	$272.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.93 / $266.89 / $513.92	Professional		$128.93	$266.89	$513.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $130.90 / $234.04 / $443.55	Professional		$130.90	$234.04	$443.55
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 $193.46 / $315.00 / $573.51	Professional		$193.46	$315.00	$573.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.16 / $75.16 / $214.46	Professional		$75.16	$75.16	$214.46