Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.94 / $547.54 / $11,522.02	Facility		$132.94	$547.54	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.50 / $198.70 / $422.56	Professional		$81.50	$198.70	$422.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.16 / $95.16 / $95.16	Professional		$95.16	$95.16	$95.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $423.00 / $2,532.58 / $12,000.00	Facility		$423.00	$2,532.58	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $122.13 / $389.09 / $1,907.03	Professional		$122.13	$389.09	$1,907.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,159.36	Facility		$466.83	$568.48	$1,159.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.51 / $232.00 / $609.02	Professional		$103.51	$232.00	$609.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $114.45 / $289.27 / $810.48	Facility		$114.45	$289.27	$810.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.93 / $252.50 / $694.40	Professional		$106.93	$252.50	$694.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.19 / $328.45 / $557.14	Professional		$53.19	$328.45	$557.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.54 / $395.00 / $496.49	Facility		$229.54	$395.00	$496.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.58 / $420.93 / $671.06	Facility		$296.58	$420.93	$671.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.06 / $283.94 / $561.70	Professional		$122.06	$283.94	$561.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,889.92 / $2,590.05 / $4,954.47	Facility		$1,889.92	$2,590.05	$4,954.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $122.94 / $297.87 / $502.33	Professional		$122.94	$297.87	$502.33
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 $226.68 / $375.68 / $617.51	Professional		$226.68	$375.68	$617.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.86 / $178.06 / $245.76	Professional		$76.86	$178.06	$245.76