Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.21 / $4,442.00 / $12,838.76	Facility		$155.21	$4,442.00	$12,838.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.29 / $169.03 / $394.23	Professional		$74.29	$169.03	$394.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $106.16 / $439.76 / $1,571.75	Professional	50	$106.16	$439.76	$1,571.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.76 / $75.76 / $75.76	Professional		$75.76	$75.76	$75.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $236.92 / $7,568.94 / $15,403.47	Facility		$236.92	$7,568.94	$15,403.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $134.60 / $334.64 / $1,307.44	Professional		$134.60	$334.64	$1,307.44
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $115.66 / $229.50 / $503.69	Professional	50	$115.66	$229.50	$503.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,708.80 / $1,708.80 / $2,846.84	Facility		$1,708.80	$1,708.80	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.66 / $224.69 / $536.30	Professional		$120.66	$224.69	$536.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $122.08 / $265.41 / $2,421.55	Facility		$122.08	$265.41	$2,421.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.08 / $224.02 / $564.37	Professional		$122.08	$224.02	$564.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $277.14 / $455.28	Professional		$43.49	$277.14	$455.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $148.74 / $330.98 / $353.60	Facility		$148.74	$330.98	$353.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.92 / $240.38 / $1,048.55	Facility		$236.92	$240.38	$1,048.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.51 / $237.09 / $440.63	Professional		$132.51	$237.09	$440.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,899.91 / $8,047.87 / $15,403.47	Facility		$4,899.91	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.09 / $228.69 / $407.12	Professional		$120.09	$228.69	$407.12
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 $217.80 / $368.77 / $504.96	Professional		$217.80	$368.77	$504.96