Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.41 / $412.51 / $13,809.00	Facility		$86.41	$412.51	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.65 / $130.38 / $263.76	Professional		$50.65	$130.38	$263.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $75.39 / $75.39	Professional		$32.00	$75.39	$75.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $214.95 / $214.95	Facility		$55.00	$214.95	$214.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $83.55 / $210.77 / $1,042.93	Professional		$83.55	$210.77	$1,042.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.74 / $143.24 / $348.51	Professional		$61.74	$143.24	$348.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $139.68 / $379.81	Facility		$66.72	$139.68	$379.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.86 / $139.68 / $376.87	Professional		$67.86	$139.68	$376.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $161.91 / $273.41	Professional		$27.16	$161.91	$273.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $96.40 / $221.91 / $290.11	Facility		$96.40	$221.91	$290.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.75 / $156.75 / $160.82	Facility		$156.75	$156.75	$160.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.57 / $156.75 / $319.50	Professional		$83.57	$156.75	$319.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.84 / $153.83 / $291.33	Professional		$84.84	$153.83	$291.33
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 $152.88 / $237.64 / $376.32	Professional		$152.88	$237.64	$376.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $48.71 / $126.45	Professional		$48.71	$48.71	$126.45