Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.11 / $265.86 / $13,750.00	Facility		$146.11	$265.86	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $127.82 / $255.39	Professional		$74.73	$127.82	$255.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.06 / $180.06 / $180.06	Professional		$180.06	$180.06	$180.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $158.55 / $628.16 / $1,278.36	Facility		$158.55	$628.16	$1,278.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $133.60 / $225.89 / $873.20	Professional		$133.60	$225.89	$873.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.77 / $714.97 / $870.49	Facility		$190.77	$714.97	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.63 / $171.85 / $333.99	Professional		$95.63	$171.85	$333.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $89.79 / $159.10 / $257.04	Facility		$89.79	$159.10	$257.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $155.87 / $250.06	Professional		$89.79	$155.87	$250.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.75 / $151.02 / $267.18	Professional		$27.75	$151.02	$267.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $136.13 / $197.20 / $238.52	Facility		$136.13	$197.20	$238.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.47 / $158.55 / $181.56	Facility		$60.47	$158.55	$181.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.25 / $196.71 / $293.66	Professional		$132.25	$196.71	$293.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $495.66 / $681.04 / $1,278.36	Facility		$495.66	$681.04	$1,278.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $182.45 / $270.38	Professional		$115.07	$182.45	$270.38
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 $128.10 / $179.94 / $357.13	Professional		$128.10	$179.94	$357.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.21 / $98.28 / $133.38	Professional		$87.21	$98.28	$133.38