Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.83 / $723.72 / $11,522.02	Facility		$194.83	$723.72	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.96 / $300.68 / $612.00	Professional		$130.96	$300.68	$612.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.50 / $207.82 / $207.82	Professional		$116.50	$207.82	$207.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,063.30 / $4,809.85 / $12,444.54	Facility		$1,063.30	$4,809.85	$12,444.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $234.64 / $523.79 / $2,043.68	Professional		$234.64	$523.79	$2,043.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,126.23 / $1,126.23 / $1,876.28	Facility		$1,126.23	$1,126.23	$1,876.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.83 / $390.79 / $831.90	Professional		$208.83	$390.79	$831.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $209.82 / $424.01 / $1,528.00	Facility		$209.82	$424.01	$1,528.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.73 / $389.00 / $876.56	Professional		$206.73	$389.00	$876.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.76 / $445.42 / $726.28	Professional		$68.76	$445.42	$726.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $259.29 / $515.90 / $617.66	Facility		$259.29	$515.90	$617.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $375.20 / $377.35 / $676.20	Facility		$375.20	$377.35	$676.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $375.20 / $689.95	Professional		$231.00	$375.20	$689.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,118.98 / $4,807.10 / $9,200.71	Facility		$3,118.98	$4,807.10	$9,200.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $225.92 / $384.85 / $637.51	Professional		$225.92	$384.85	$637.51
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.05 / $576.78 / $789.79	Professional		$337.05	$576.78	$789.79