Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.37 / $303.91 / $8,500.00	Facility		$126.37	$303.91	$8,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $140.32 / $324.10	Professional		$70.79	$140.32	$324.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $215.37 / $215.37 / $215.37	Professional		$215.37	$215.37	$215.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $87.65 / $561.34 / $1,073.78	Facility		$87.65	$561.34	$1,073.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $124.84 / $243.46 / $955.92	Professional		$124.84	$243.46	$955.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.01 / $126.01 / $209.93	Facility		$126.01	$126.01	$209.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.75 / $198.91 / $394.80	Professional		$111.75	$198.91	$394.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $103.85 / $170.29 / $316.89	Facility		$103.85	$170.29	$316.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.85 / $170.29 / $282.64	Professional		$103.85	$170.29	$282.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $222.41 / $364.68	Professional		$34.76	$222.41	$364.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $129.97 / $216.41 / $259.95	Facility		$129.97	$216.41	$259.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.65 / $174.41 / $177.32	Facility		$87.65	$174.41	$177.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.96 / $186.86 / $325.07	Professional		$122.96	$186.86	$325.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $409.60 / $561.02 / $1,073.78	Facility		$409.60	$561.02	$1,073.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $117.13 / $177.87 / $300.31	Professional		$117.13	$177.87	$300.31
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.07 / $274.99 / $376.54	Professional		$150.07	$274.99	$376.54