Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.44 / $1,151.69 / $14,464.32	Facility		$157.44	$1,151.69	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.70 / $360.03 / $827.90	Professional		$99.70	$360.03	$827.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $443.49 / $443.49 / $443.49	Professional		$443.49	$443.49	$443.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $895.52 / $1,639.88	Facility		$55.00	$895.52	$1,639.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $915.90 / $3,699.68	Professional		$157.63	$915.90	$3,699.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.89 / $358.75 / $1,358.59	Professional		$115.89	$358.75	$1,358.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $123.41 / $378.20 / $1,179.63	Facility		$123.41	$378.20	$1,179.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.72 / $378.20 / $1,183.99	Professional		$126.72	$378.20	$1,183.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $127.52 / $760.60 / $1,283.58	Professional		$127.52	$760.60	$1,283.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $194.01 / $856.09 / $1,011.03	Facility		$194.01	$856.09	$1,011.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $689.61 / $689.61 / $719.82	Facility		$689.61	$689.61	$719.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $650.98 / $1,349.29	Professional		$155.19	$650.98	$1,349.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $324.04 / $1,145.90	Professional		$159.00	$324.04	$1,145.90
United Facility/Professional Facility Modifier Low / Median / High Price $414.00 / $666.00 / $6,216.00	Facility		$414.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.80 / $737.64 / $1,398.55	Professional		$187.80	$737.64	$1,398.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.25 / $88.25 / $557.46	Professional		$88.25	$88.25	$557.46