Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.38 / $188.31 / $501.77	Facility		$104.38	$188.31	$501.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.61 / $104.38 / $314.19	Professional		$58.61	$104.38	$314.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $126.54 / $185.06	Professional		$82.25	$126.54	$185.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $105.55 / $744.18 / $1,455.83	Facility		$105.55	$744.18	$1,455.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $97.74 / $159.11 / $605.52	Professional		$97.74	$159.11	$605.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.28 / $120.28 / $120.28	Facility		$120.28	$120.28	$120.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $137.97 / $230.54	Professional		$73.09	$137.97	$230.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $123.60 / $206.17	Facility		$72.23	$123.60	$206.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $123.26 / $195.34	Professional		$71.40	$123.26	$195.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $151.02 / $269.28	Professional		$27.14	$151.02	$269.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $104.32 / $153.13 / $164.82	Facility		$104.32	$153.13	$164.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.36 / $105.55 / $112.42	Facility		$35.36	$105.55	$112.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.49 / $143.88 / $200.04	Professional		$96.49	$143.88	$200.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $550.49 / $761.06 / $1,455.83	Facility		$550.49	$761.06	$1,455.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $88.73 / $130.72 / $191.47	Professional		$88.73	$130.72	$191.47
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 $97.18 / $129.22 / $228.00	Professional		$97.18	$129.22	$228.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.51 / $69.02 / $92.53	Professional		$64.51	$69.02	$92.53