Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.77 / $614.57 / $14,464.32	Facility		$310.77	$614.57	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.36 / $293.05 / $609.57	Professional		$193.36	$293.05	$609.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $454.03 / $454.03 / $454.03	Professional		$454.03	$454.03	$454.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $232.18 / $667.91 / $1,278.36	Facility		$232.18	$667.91	$1,278.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $326.45 / $535.64 / $2,015.78	Professional		$326.45	$535.64	$2,015.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.39 / $305.39 / $305.39	Facility		$305.39	$305.39	$305.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.69 / $440.49 / $744.02	Professional		$232.69	$440.49	$744.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $205.76 / $371.25 / $582.89	Facility		$205.76	$371.25	$582.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.76 / $369.17 / $582.89	Professional		$205.76	$369.17	$582.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.99 / $204.62 / $508.99	Professional		$36.99	$204.62	$508.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $280.44 / $432.15 / $491.78	Facility		$280.44	$432.15	$491.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $317.10 / $335.44	Facility		$77.31	$317.10	$335.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.44 / $511.75 / $629.53	Professional		$335.44	$511.75	$629.53
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 $320.49 / $456.24 / $606.94	Professional		$320.49	$456.24	$606.94
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 $269.50 / $382.80 / $670.52	Professional		$269.50	$382.80	$670.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $205.67 / $261.73 / $277.52	Professional		$205.67	$261.73	$277.52