Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.20 / $101.37 / $426.10	Facility		$34.20	$101.37	$426.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $298.12 / $362.24 / $783.00	Facility	50	$298.12	$362.24	$783.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $52.86 / $135.94	Professional		$32.40	$52.86	$135.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.68 / $355.50 / $355.50	Professional	50	$73.68	$355.50	$355.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.19 / $67.19 / $67.19	Professional		$67.19	$67.19	$67.19
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $215.42 / $215.42 / $215.42	Professional	50	$215.42	$215.42	$215.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $66.83 / $436.62 / $987.53	Facility		$66.83	$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 $45.38 / $116.41 / $474.72	Professional		$45.38	$116.41	$474.72
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $75.00 / $78.89 / $195.30	Professional	50	$75.00	$78.89	$195.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.06 / $98.06 / $98.06	Facility		$98.06	$98.06	$98.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $77.20 / $173.08	Professional		$37.44	$77.20	$173.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $42.55 / $73.59 / $144.77	Facility		$42.55	$73.59	$144.77
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 $42.26 / $72.70 / $134.69	Professional		$42.26	$72.70	$134.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $101.08 / $178.26	Professional		$17.82	$101.08	$178.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.78 / $103.88 / $128.63	Facility		$66.78	$103.88	$128.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.86 / $86.07 / $95.68	Facility		$31.86	$86.07	$95.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.83 / $84.00 / $157.53	Professional		$44.83	$84.00	$157.53
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 $41.48 / $86.81 / $151.32	Professional		$41.48	$86.81	$151.32
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 $67.50 / $100.80 / $179.56	Professional		$67.50	$100.80	$179.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $52.17 / $70.72	Professional		$26.92	$52.17	$70.72