Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.14 / $2,769.52 / $11,025.75	Facility		$176.14	$2,769.52	$11,025.75
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,106.00 / $6,340.00 / $10,121.75	Facility	50	$5,106.00	$6,340.00	$10,121.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.07 / $172.69 / $385.20	Professional		$123.07	$172.69	$385.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.27 / $242.48 / $264.83	Professional		$119.27	$242.48	$264.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $184.82 / $622.16	Facility		$55.00	$184.82	$622.16
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $18.92 / $62.22 / $62.22	Facility	AS	$18.92	$62.22	$62.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $192.39 / $322.08 / $1,199.70	Professional		$192.39	$322.08	$1,199.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.64 / $276.49 / $405.66	Professional		$175.64	$276.49	$405.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $162.77 / $285.64 / $346.91	Facility		$162.77	$285.64	$346.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.21 / $285.64 / $346.91	Professional		$167.21	$285.64	$346.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.77 / $261.44 / $431.18	Professional		$40.77	$261.44	$431.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $197.96 / $260.30 / $274.02	Facility		$197.96	$260.30	$274.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.82 / $184.82 / $186.91	Facility		$184.82	$184.82	$186.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.63 / $311.77 / $383.36	Professional		$192.63	$311.77	$383.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $188.50 / $268.88 / $362.17	Professional		$188.50	$268.88	$362.17
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.32 / $293.25 / $411.88	Professional		$177.32	$293.25	$411.88