Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.72 / $424.86 / $13,750.00	Facility		$145.72	$424.86	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.44 / $154.90 / $356.56	Professional		$78.44	$154.90	$356.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $36.70 / $74.97	Professional		$36.70	$36.70	$74.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $638.08 / $2,511.87 / $12,000.00	Facility		$638.08	$2,511.87	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $127.69 / $342.55 / $1,387.84	Professional		$127.69	$342.55	$1,387.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,192.33	Facility		$466.83	$568.48	$1,192.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.58 / $220.31 / $546.66	Professional		$105.58	$220.31	$546.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.16 / $220.77 / $826.39	Facility		$117.16	$220.77	$826.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $211.93 / $540.78	Professional		$111.36	$211.93	$540.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.03 / $274.13 / $466.30	Professional		$45.03	$274.13	$466.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $179.20 / $326.29 / $388.28	Facility		$179.20	$326.29	$388.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $256.83 / $416.80 / $666.60	Facility		$256.83	$416.80	$666.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.66 / $254.31 / $487.97	Professional		$130.66	$254.31	$487.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,665.80 / $2,568.87 / $4,913.96	Facility		$1,665.80	$2,568.87	$4,913.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $254.92 / $426.84	Professional		$131.91	$254.92	$426.84
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 $189.93 / $303.70 / $535.79	Professional		$189.93	$303.70	$535.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.69 / $154.60 / $211.76	Professional		$84.69	$154.60	$211.76