Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.31 / $363.57 / $14,464.32	Facility		$205.31	$363.57	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $153.09 / $318.26	Professional		$105.68	$153.09	$318.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.01 / $267.01 / $267.01	Professional		$267.01	$267.01	$267.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,633.02 / $5,709.61	Facility		$55.00	$2,633.02	$5,709.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $172.81 / $305.17 / $1,090.08	Professional		$172.81	$305.17	$1,090.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.07 / $466.83 / $636.00	Facility		$131.07	$466.83	$636.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.37 / $246.58 / $429.67	Professional		$134.37	$246.58	$429.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $134.11 / $237.23 / $422.34	Facility		$134.11	$237.23	$422.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.30 / $229.10 / $358.05	Professional		$133.30	$229.10	$358.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $189.87 / $337.98	Professional		$31.86	$189.87	$337.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $201.34 / $282.74 / $296.48	Facility		$201.34	$282.74	$296.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.84 / $199.32 / $201.54	Facility		$101.84	$199.32	$201.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.06 / $263.23 / $382.42	Professional		$179.06	$263.23	$382.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,802.50 / $4,321.81 / $8,267.12	Facility		$2,802.50	$4,321.81	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $180.49 / $249.84 / $342.44	Professional		$180.49	$249.84	$342.44
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.91 / $242.51 / $426.75	Professional		$159.91	$242.51	$426.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.64 / $122.51 / $162.77	Professional		$120.64	$122.51	$162.77