Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $463.13 / $14,464.32	Facility		$49.50	$463.13	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.42 / $133.96 / $309.08	Professional		$37.42	$133.96	$309.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $62.05 / $343.32	Professional		$62.05	$62.05	$343.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $186.00 / $186.00	Facility		$55.00	$186.00	$186.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $302.10 / $1,353.44	Professional		$69.83	$302.10	$1,353.44
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $82.55 / $257.80 / $491.06	Professional	50	$82.55	$257.80	$491.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $150.74 / $491.99	Professional		$51.88	$150.74	$491.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $126.79 / $383.08	Facility		$58.00	$126.79	$383.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $126.79 / $407.10	Professional		$58.00	$126.79	$407.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $271.86 / $457.78	Professional		$45.46	$271.86	$457.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $169.88 / $315.06 / $367.83	Facility		$169.88	$315.06	$367.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.54 / $240.54 / $250.89	Facility		$240.54	$240.54	$250.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.03 / $221.27 / $467.59	Professional		$71.03	$221.27	$467.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $148.31 / $407.30	Professional		$71.81	$148.31	$407.30
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 $168.72 / $270.95 / $532.96	Professional		$168.72	$270.95	$532.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $41.76 / $197.64	Professional		$41.76	$41.76	$197.64