Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.42 / $173.66 / $954.50	Facility		$52.42	$173.66	$954.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $221.72 / $972.44 / $972.44	Facility	50	$221.72	$972.44	$972.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.52 / $80.37 / $237.20	Professional		$39.52	$80.37	$237.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.57 / $114.57 / $427.00	Professional	50	$114.57	$114.57	$427.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.12 / $108.22 / $141.82	Professional		$59.12	$108.22	$141.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $93.69 / $361.80 / $800.58	Facility		$93.69	$361.80	$800.58
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $412.74 / $412.74 / $412.74	Facility	50	$412.74	$412.74	$412.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $128.56 / $503.28	Professional		$67.81	$128.56	$503.28
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $97.41 / $198.30 / $213.00	Professional	50	$97.41	$198.30	$213.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $93.82 / $184.73	Professional		$51.00	$93.82	$184.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $48.79 / $91.78 / $164.65	Facility		$48.79	$91.78	$164.65
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $281.60 / $380.38 / $915.18	Facility	50	$281.60	$380.38	$915.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.79 / $91.63 / $162.32	Professional		$48.79	$91.63	$162.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $151.02 / $269.28	Professional		$26.95	$151.02	$269.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.04 / $121.94 / $137.35	Facility		$75.04	$121.94	$137.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $86.98 / $93.69	Facility		$86.98	$86.98	$93.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $102.73 / $165.44	Professional		$67.00	$102.73	$165.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $264.14 / $361.80 / $692.47	Facility		$264.14	$361.80	$692.47
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $327.62 / $327.62 / $412.74	Facility	50	$327.62	$327.62	$412.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.04 / $96.15 / $156.27	Professional		$64.04	$96.15	$156.27
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 $63.71 / $96.13 / $180.17	Professional		$63.71	$96.13	$180.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.73 / $57.42 / $78.27	Professional		$44.73	$57.42	$78.27