Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.26 / $233.15 / $11,522.02	Facility		$77.26	$233.15	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.56 / $99.04 / $184.55	Professional		$51.56	$99.04	$184.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.94 / $69.94 / $69.94	Professional		$69.94	$69.94	$69.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,413.59 / $2,694.38	Facility		$55.00	$1,413.59	$2,694.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $86.07 / $189.04 / $728.98	Professional		$86.07	$189.04	$728.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.59 / $466.83 / $636.00	Facility		$90.59	$466.83	$636.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.53 / $142.99 / $291.27	Professional		$69.53	$142.99	$291.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $74.88 / $134.62 / $296.80	Facility		$74.88	$134.62	$296.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $131.63 / $248.25	Professional		$71.59	$131.63	$248.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $163.42 / $276.14	Professional		$27.01	$163.42	$276.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $118.59 / $185.42 / $205.02	Facility		$118.59	$185.42	$205.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.41 / $131.16 / $133.63	Facility		$78.41	$131.16	$133.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.93 / $142.97 / $254.10	Professional		$86.93	$142.97	$254.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,454.88 / $1,993.85 / $3,814.01	Facility		$1,454.88	$1,993.85	$3,814.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.83 / $148.27 / $222.86	Professional		$87.83	$148.27	$222.86
United Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $887.00 / $4,611.00	Facility		$425.00	$887.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.78 / $174.04 / $292.04	Professional		$111.78	$174.04	$292.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.45 / $77.84 / $105.99	Professional		$57.45	$77.84	$105.99