Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.95 / $747.78 / $17,100.00	Facility		$212.95	$747.78	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.18 / $237.91 / $464.05	Professional		$148.18	$237.91	$464.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.79 / $98.79 / $98.79	Professional		$98.79	$98.79	$98.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $224.51 / $4,306.60 / $8,788.86	Facility		$224.51	$4,306.60	$8,788.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $337.25 / $1,463.70	Professional		$173.40	$337.25	$1,463.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.50 / $765.00 / $870.49	Facility		$224.50	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.77 / $296.60 / $515.44	Professional		$170.77	$296.60	$515.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $168.47 / $356.43 / $683.62	Facility		$168.47	$356.43	$683.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $168.47 / $340.25 / $590.52	Professional		$168.47	$340.25	$590.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $253.73 / $447.48	Professional		$45.23	$253.73	$447.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $279.76 / $343.71 / $540.02	Facility		$279.76	$343.71	$540.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.77 / $234.20 / $234.44	Facility		$74.77	$234.20	$234.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.77 / $264.73 / $440.90	Professional		$169.77	$264.73	$440.90
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 $150.66 / $256.89 / $454.26	Professional		$150.66	$256.89	$454.26
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $282.14 / $403.00 / $702.66	Professional		$282.14	$403.00	$702.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $140.52 / $187.52	Professional		$100.30	$140.52	$187.52