Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.06 / $780.41 / $9,179.86	Facility		$254.06	$780.41	$9,179.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.90 / $202.11 / $497.15	Professional		$132.90	$202.11	$497.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $244.37 / $244.37 / $244.37	Professional		$244.37	$244.37	$244.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $238.32 / $798.63 / $12,000.00	Facility		$238.32	$798.63	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $214.00 / $387.49 / $1,434.56	Professional		$214.00	$387.49	$1,434.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.48 / $466.83 / $636.00	Facility		$176.48	$466.83	$636.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.32 / $308.89 / $558.29	Professional		$167.32	$308.89	$558.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $167.40 / $289.79 / $499.85	Facility		$167.40	$289.79	$499.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.04 / $289.79 / $467.28	Professional		$166.04	$289.79	$467.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.26 / $272.63 / $480.92	Professional		$46.26	$272.63	$480.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $255.14 / $364.48 / $389.94	Facility		$255.14	$364.48	$389.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.93 / $238.32 / $265.97	Facility		$152.93	$238.32	$265.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.46 / $340.90 / $504.41	Professional		$226.46	$340.90	$504.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $505.09 / $691.81 / $1,324.12	Facility		$505.09	$691.81	$1,324.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $226.20 / $315.27 / $450.47	Professional		$226.20	$315.27	$450.47
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $497.00 / $5,793.00	Facility		$125.00	$497.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $207.29 / $322.14 / $562.88	Professional		$207.29	$322.14	$562.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $159.56 / $215.33	Professional		$151.00	$159.56	$215.33