Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.13 / $506.02 / $9,703.00	Facility		$203.13	$506.02	$9,703.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $183.78 / $448.35	Professional		$98.28	$183.78	$448.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.19 / $105.19 / $105.19	Professional		$105.19	$105.19	$105.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $684.85 / $970.47	Facility		$55.00	$684.85	$970.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $176.02 / $398.90 / $1,538.16	Professional		$176.02	$398.90	$1,538.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.82 / $466.83 / $636.00	Facility		$185.82	$466.83	$636.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.93 / $284.35 / $585.21	Professional		$136.93	$284.35	$585.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $139.02 / $254.04 / $468.47	Facility		$139.02	$254.04	$468.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.75 / $246.24 / $442.63	Professional		$135.75	$246.24	$442.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $274.13 / $466.30	Professional		$45.46	$274.13	$466.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $206.47 / $340.66 / $420.09	Facility		$206.47	$340.66	$420.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.68 / $286.54 / $288.11	Facility		$141.68	$286.54	$288.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.17 / $301.14 / $542.48	Professional		$182.17	$301.14	$542.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $511.06 / $700.39 / $1,339.76	Facility		$511.06	$700.39	$1,339.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $183.42 / $311.73 / $476.21	Professional		$183.42	$311.73	$476.21
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 $195.35 / $325.67 / $605.36	Professional		$195.35	$325.67	$605.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.97 / $171.16 / $233.04	Professional		$120.97	$171.16	$233.04