Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.92 / $51.71 / $432.72	Facility		$31.92	$51.71	$432.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $32.07 / $61.28	Professional		$20.92	$32.07	$61.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $48.35 / $67.31 / $91.95	Professional	50	$48.35	$67.31	$91.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.55 / $27.95 / $34.04	Professional		$26.55	$27.95	$34.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $436.62 / $987.53	Facility		$55.00	$436.62	$987.53
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $492.71 / $669.80 / $1,295.79	Facility	50	$492.71	$669.80	$1,295.79
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $53.94 / $210.88	Professional		$30.38	$53.94	$210.88
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $51.65 / $53.30 / $88.50	Professional	50	$51.65	$53.30	$88.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.95 / $32.95 / $32.95	Facility		$32.95	$32.95	$32.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.46 / $39.19 / $81.55	Professional		$17.46	$39.19	$81.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $24.38 / $43.73 / $90.98	Facility		$24.38	$43.73	$90.98
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $281.60 / $475.95 / $1,145.11	Facility	50	$281.60	$475.95	$1,145.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.87 / $41.69 / $81.91	Professional		$23.87	$41.69	$81.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.06 / $14.60 / $27.45	Professional		$1.06	$14.60	$27.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $34.84 / $54.27 / $70.09	Facility		$34.84	$54.27	$70.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.78 / $37.15 / $38.39	Facility		$9.78	$37.15	$38.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.52 / $44.22 / $70.01	Professional		$29.52	$44.22	$70.01
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 Facility Modifier 50 Low / Median / High Price $434.34 / $669.80 / $1,281.24	Facility	50	$434.34	$669.80	$1,281.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $41.85 / $66.20	Professional		$26.78	$41.85	$66.20
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 $34.04 / $53.50 / $81.12	Professional		$34.04	$53.50	$81.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $23.46 / $30.95	Professional		$17.93	$23.46	$30.95