Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.53 / $456.71 / $7,920.26	Facility		$110.53	$456.71	$7,920.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $460.12 / $1,095.39 / $4,831.01	Facility	50	$460.12	$1,095.39	$4,831.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.47 / $183.68 / $439.44	Professional		$69.47	$183.68	$439.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $159.60 / $305.89 / $717.17	Professional	50	$159.60	$305.89	$717.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.76 / $176.80 / $325.56	Professional		$91.76	$176.80	$325.56
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $137.63 / $137.63 / $146.87	Professional	50	$137.63	$137.63	$146.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $599.90 / $15,000.00	Facility		$55.00	$599.90	$15,000.00
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $899.85 / $899.85 / $899.85	Facility	50	$899.85	$899.85	$899.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $138.19 / $299.52 / $797.62	Professional		$138.19	$299.52	$797.62
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $202.16 / $488.91 / $628.90	Professional	50	$202.16	$488.91	$628.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.80 / $219.36 / $463.94	Professional		$106.80	$219.36	$463.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $101.84 / $198.60 / $397.94	Facility		$101.84	$198.60	$397.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $101.85 / $200.94 / $399.11	Professional		$101.85	$200.94	$399.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.37 / $201.32 / $357.49	Professional		$36.37	$201.32	$357.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.49 / $303.94 / $331.84	Facility		$165.49	$303.94	$331.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $219.71 / $219.71 / $225.30	Facility		$219.71	$219.71	$225.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.79 / $225.30 / $405.91	Professional		$136.79	$225.30	$405.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $130.12 / $224.07 / $398.55	Professional		$130.12	$224.07	$398.55
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 $193.62 / $262.76 / $462.65	Professional		$193.62	$262.76	$462.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.40 / $135.82 / $183.90	Professional		$88.40	$135.82	$183.90