Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.76 / $366.08 / $829.84	Facility		$70.76	$366.08	$829.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.14 / $86.91 / $259.36	Professional		$49.14	$86.91	$259.36
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $183.83 / $183.83 / $183.83	Professional	50	$183.83	$183.83	$183.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $104.58 / $118.93	Professional		$42.02	$104.58	$118.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $93.42 / $436.62 / $987.53	Facility		$93.42	$436.62	$987.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $141.07 / $544.96	Professional		$82.57	$141.07	$544.96
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $120.45 / $150.19 / $261.00	Professional	50	$120.45	$150.19	$261.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.03 / $108.03 / $108.03	Facility		$108.03	$108.03	$108.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.07 / $106.84 / $198.74	Professional		$60.07	$106.84	$198.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $60.63 / $102.93 / $177.30	Facility		$60.63	$102.93	$177.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.63 / $102.93 / $171.50	Professional		$60.63	$102.93	$171.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $101.08 / $178.26	Professional		$18.19	$101.08	$178.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $82.94 / $134.66 / $148.07	Facility		$82.94	$134.66	$148.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.11 / $94.22 / $101.00	Facility		$31.11	$94.22	$101.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.73 / $122.16 / $179.20	Professional		$81.73	$122.16	$179.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $289.56 / $446.53 / $854.16	Facility		$289.56	$446.53	$854.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.55 / $114.43 / $170.32	Professional		$74.55	$114.43	$170.32
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 $85.28 / $118.25 / $207.59	Professional		$85.28	$118.25	$207.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $62.39 / $83.58	Professional		$54.38	$62.39	$83.58