Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.43 / $183.38 / $282.68	Facility		$125.43	$183.38	$282.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.15 / $106.27 / $255.73	Professional		$58.15	$106.27	$255.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.08 / $135.08 / $135.08	Professional		$135.08	$135.08	$135.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $87.77 / $713.37 / $1,455.83	Facility		$87.77	$713.37	$1,455.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $116.03 / $193.74 / $738.00	Professional		$116.03	$193.74	$738.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.79 / $131.79 / $131.79	Facility		$131.79	$131.79	$131.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $149.07 / $280.41	Professional		$84.13	$149.07	$280.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $78.16 / $137.61 / $238.93	Facility		$78.16	$137.61	$238.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.16 / $137.61 / $231.82	Professional		$78.16	$137.61	$231.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $151.29 / $268.52	Professional		$27.16	$151.29	$268.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $113.36 / $186.26 / $202.34	Facility		$113.36	$186.26	$202.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.89 / $131.37 / $138.01	Facility		$38.89	$131.37	$138.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.79 / $170.80 / $246.72	Professional		$115.79	$170.80	$246.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $493.52 / $761.06 / $1,455.83	Facility		$493.52	$761.06	$1,455.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $106.05 / $159.09 / $238.01	Professional		$106.05	$159.09	$238.01
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 $117.62 / $162.81 / $285.80	Professional		$117.62	$162.81	$285.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.66 / $84.48 / $111.73	Professional		$72.66	$84.48	$111.73