Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.36 / $870.07 / $9,703.00	Facility		$54.36	$870.07	$9,703.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $25.14 / $162.36 / $217.81	Facility	52	$25.14	$162.36	$217.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $186.49 / $396.78	Professional		$35.07	$186.49	$396.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.48 / $51.48 / $100.04	Professional		$51.48	$51.48	$100.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $527.08 / $946.46	Facility		$55.00	$527.08	$946.46
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $73.73 / $135.65 / $135.65	Facility	52	$73.73	$135.65	$135.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $387.09 / $1,659.04	Professional		$60.50	$387.09	$1,659.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.82 / $714.97 / $947.00	Facility		$185.82	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $221.75 / $636.66	Professional		$49.46	$221.75	$636.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $51.84 / $233.77 / $599.39	Facility		$51.84	$233.77	$599.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $199.36 / $561.04	Professional		$49.68	$199.36	$561.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $383.95 / $648.75	Professional		$62.10	$383.95	$648.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $257.36 / $431.28 / $456.66	Facility		$257.36	$431.28	$456.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.68 / $299.75 / $317.55	Facility		$141.68	$299.75	$317.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.79 / $255.05 / $598.24	Professional		$63.79	$255.05	$598.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $516.30 / $700.39 / $1,339.76	Facility		$516.30	$700.39	$1,339.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.70 / $176.85 / $515.73	Professional		$61.70	$176.85	$515.73
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $520.00 / $1,910.00	Facility		$125.00	$520.00	$1,910.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.10 / $380.55 / $650.76	Professional		$245.10	$380.55	$650.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $181.38 / $253.20	Professional		$38.11	$181.38	$253.20