Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.29 / $676.75 / $14,464.32	Facility		$299.29	$676.75	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.11 / $260.57 / $659.46	Professional		$154.11	$260.57	$659.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $284.05 / $284.05 / $284.05	Professional		$284.05	$284.05	$284.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $342.02 / $4,306.60 / $8,788.86	Facility		$342.02	$4,306.60	$8,788.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $277.64 / $489.43 / $1,889.60	Professional		$277.64	$489.43	$1,889.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.16 / $500.00 / $568.48	Facility		$386.16	$500.00	$568.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.41 / $380.92 / $718.85	Professional		$208.41	$380.92	$718.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $199.26 / $353.92 / $654.15	Facility		$199.26	$353.92	$654.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.26 / $353.92 / $609.10	Professional		$199.26	$353.92	$609.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $203.69 / $537.05	Professional		$37.39	$203.69	$537.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $290.24 / $467.67 / $513.22	Facility		$290.24	$467.67	$513.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.45 / $342.02 / $379.71	Facility		$126.45	$342.02	$379.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.47 / $407.32 / $630.13	Professional		$268.47	$407.32	$630.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,979.36 / $4,591.92 / $8,788.86	Facility		$2,979.36	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $241.50 / $386.12 / $603.67	Professional		$241.50	$386.12	$603.67
United Facility/Professional Facility Modifier Low / Median / High Price $938.00 / $5,616.83 / $9,269.08	Facility		$938.00	$5,616.83	$9,269.08
United Facility/Professional Professional Modifier Low / Median / High Price $296.41 / $404.32 / $718.21	Professional		$296.41	$404.32	$718.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.53 / $209.54 / $282.89	Professional		$177.53	$209.54	$282.89