Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.86 / $276.37 / $17,930.00	Facility		$126.86	$276.37	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $126.39 / $253.99	Professional		$67.94	$126.39	$253.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $241.64 / $332.94 / $332.94	Professional		$241.64	$332.94	$332.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $91.83 / $668.86 / $1,351.35	Facility		$91.83	$668.86	$1,351.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $107.54 / $235.13 / $913.76	Professional		$107.54	$235.13	$913.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.41 / $116.41 / $176.98	Facility		$116.41	$116.41	$176.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $165.60 / $326.33	Professional		$87.57	$165.60	$326.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $166.05 / $305.33	Facility		$98.20	$166.05	$305.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $168.27 / $305.33	Professional		$102.00	$168.27	$305.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $150.05 / $267.18	Professional		$27.11	$150.05	$267.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $142.71 / $237.85 / $248.20	Facility		$142.71	$237.85	$248.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.67 / $165.35 / $168.18	Facility		$76.67	$165.35	$168.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.07 / $172.96 / $308.27	Professional		$97.07	$172.96	$308.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $505.09 / $676.85 / $1,324.12	Facility		$505.09	$676.85	$1,324.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.54 / $175.20 / $284.83	Professional		$107.54	$175.20	$284.83
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.65 / $188.34 / $355.29	Professional		$152.65	$188.34	$355.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.55 / $73.55 / $135.91	Professional		$73.55	$73.55	$135.91