Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.68 / $538.16 / $6,629.40	Facility		$124.68	$538.16	$6,629.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,198.50 / $5,198.50 / $5,198.50	Facility	50	$5,198.50	$5,198.50	$5,198.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.94 / $187.44 / $500.86	Professional		$63.94	$187.44	$500.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $166.68 / $606.12 / $760.24	Professional	50	$166.68	$606.12	$760.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $122.82 / $306.07 / $420.85	Professional		$122.82	$306.07	$420.85
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $631.27 / $631.27 / $631.27	Professional	50	$631.27	$631.27	$631.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $954.09 / $954.09	Facility		$55.00	$954.09	$954.09
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,015.59 / $1,015.59 / $1,015.59	Facility	50	$1,015.59	$1,015.59	$1,015.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $118.17 / $420.67 / $1,994.18	Professional		$118.17	$420.67	$1,994.18
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $336.53 / $640.32	Professional	50	$162.18	$336.53	$640.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.66 / $210.01 / $637.62	Professional		$84.66	$210.01	$637.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $93.37 / $183.52 / $491.39	Facility		$93.37	$183.52	$491.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.66 / $185.23 / $530.84	Professional		$95.66	$185.23	$530.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.61 / $324.15 / $547.93	Professional		$54.61	$324.15	$547.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $250.04 / $410.82 / $462.30	Facility		$250.04	$410.82	$462.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $315.33 / $315.33 / $327.52	Facility		$315.33	$315.33	$327.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.98 / $301.00 / $614.03	Professional		$119.98	$301.00	$614.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $121.81 / $250.51 / $524.05	Professional		$121.81	$250.51	$524.05
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 $224.48 / $388.85 / $745.17	Professional		$224.48	$388.85	$745.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.77 / $70.77 / $255.06	Professional		$70.77	$70.77	$255.06