Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.66 / $148.59 / $527.27	Facility		$98.66	$148.59	$527.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.75 / $96.16 / $242.16	Professional		$62.75	$96.16	$242.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $118.88 / $118.88 / $118.88	Professional	50	$118.88	$118.88	$118.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.58 / $86.58 / $86.58	Professional		$86.58	$86.58	$86.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $744.18 / $1,455.83	Facility		$97.94	$744.18	$1,455.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $92.05 / $149.31 / $569.67	Professional		$92.05	$149.31	$569.67
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $159.47 / $232.10 / $293.61	Professional	50	$159.47	$232.10	$293.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.33 / $110.33 / $110.33	Facility		$110.33	$110.33	$110.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.15 / $130.38 / $222.54	Professional		$70.15	$130.38	$222.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $68.75 / $117.16 / $199.43	Facility		$68.75	$117.16	$199.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $115.59 / $192.53	Professional		$68.75	$115.59	$192.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.21 / $101.08 / $178.26	Professional		$18.21	$101.08	$178.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $97.80 / $146.72 / $155.24	Facility		$97.80	$146.72	$155.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $99.66 / $105.11	Facility		$32.61	$99.66	$105.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.68 / $133.18 / $187.54	Professional		$89.68	$133.18	$187.54
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 $83.48 / $123.12 / $180.79	Professional		$83.48	$123.12	$180.79
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 $91.87 / $126.68 / $214.82	Professional		$91.87	$126.68	$214.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $64.59 / $86.58	Professional		$59.35	$64.59	$86.58