Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $300.42 / $13,809.00	Facility		$64.67	$300.42	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.59 / $107.01 / $212.10	Professional		$43.59	$107.01	$212.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.58 / $55.67 / $55.67	Professional		$24.58	$55.67	$55.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.27 / $502.53 / $802.46	Facility		$90.27	$502.53	$802.46
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $65.37 / $222.86 / $878.88	Professional		$65.37	$222.86	$878.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.34 / $205.34 / $205.34	Facility		$205.34	$205.34	$205.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $115.09 / $333.38	Professional		$48.40	$115.09	$333.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $57.02 / $146.82 / $317.43	Facility		$57.02	$146.82	$317.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $131.46 / $283.36	Professional		$54.44	$131.46	$283.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $216.22 / $364.68	Professional		$36.19	$216.22	$364.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $114.80 / $211.05 / $237.85	Facility		$114.80	$211.05	$237.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.24 / $162.24 / $167.16	Facility		$162.24	$162.24	$167.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $162.24 / $319.23	Professional		$62.14	$162.24	$319.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $443.22 / $607.41 / $1,161.91	Facility		$443.22	$607.41	$1,161.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $129.62 / $274.77	Professional		$63.26	$129.62	$274.77
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 $130.72 / $230.48 / $382.60	Professional		$130.72	$230.48	$382.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.09 / $36.09 / $132.38	Professional		$36.09	$36.09	$132.38