Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.61 / $1,710.00 / $18,711.00	Facility		$158.61	$1,710.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $277.82 / $576.48	Professional		$79.20	$277.82	$576.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $82.80 / $82.80	Professional		$82.80	$82.80	$82.80
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 Professional Modifier Low / Median / High Price $140.53 / $577.44 / $2,453.12	Professional		$140.53	$577.44	$2,453.12
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 $109.70 / $295.77 / $939.54	Professional		$109.70	$295.77	$939.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $116.02 / $271.77 / $859.04	Facility		$116.02	$271.77	$859.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.56 / $271.50 / $832.51	Professional		$112.56	$271.50	$832.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.77 / $493.56 / $837.20	Professional		$79.77	$493.56	$837.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $373.00 / $635.69 / $670.00	Facility		$373.00	$635.69	$670.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.68 / $299.75 / $479.27	Facility		$141.68	$299.75	$479.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.41 / $355.25 / $879.04	Professional		$143.41	$355.25	$879.04
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 $142.15 / $274.70 / $774.00	Professional		$142.15	$274.70	$774.00
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 $142.19 / $509.18 / $954.35	Professional		$142.19	$509.18	$954.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.39 / $267.77 / $371.39	Professional		$92.39	$267.77	$371.39