Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.25 / $351.30 / $13,750.00	Facility		$50.25	$351.30	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $126.56 / $216.09	Professional		$47.60	$126.56	$216.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $29.06 / $29.06	Professional		$29.06	$29.06	$29.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $155.83 / $1,062.14 / $2,161.55	Facility		$155.83	$1,062.14	$2,161.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $220.13 / $847.68	Professional		$67.91	$220.13	$847.68
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $71.81 / $154.50 / $399.00	Professional	50	$71.81	$154.50	$399.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.36 / $195.36 / $195.36	Facility		$195.36	$195.36	$195.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.39 / $125.15 / $350.52	Professional		$59.39	$125.15	$350.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $63.25 / $161.38 / $353.00	Facility		$63.25	$161.38	$353.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.25 / $153.72 / $291.37	Professional		$63.25	$153.72	$291.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $212.86 / $351.05	Professional		$34.76	$212.86	$351.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $155.94 / $225.60 / $280.73	Facility		$155.94	$225.60	$280.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.83 / $155.83 / $158.12	Facility		$155.83	$155.83	$158.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $124.53 / $287.52	Professional		$66.84	$124.53	$287.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $732.75 / $1,129.34 / $2,161.55	Facility		$732.75	$1,129.34	$2,161.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.29 / $128.79 / $267.80	Professional		$57.29	$128.79	$267.80
United Facility/Professional Facility Modifier Low / Median / High Price $354.52 / $497.00 / $5,793.00	Facility		$354.52	$497.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.30 / $207.70 / $328.70	Professional		$133.30	$207.70	$328.70