Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.61 / $717.05 / $7,984.74	Facility		$275.61	$717.05	$7,984.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.98 / $281.49 / $717.05	Professional		$172.98	$281.49	$717.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $284.70 / $402.98 / $569.40	Professional		$284.70	$402.98	$569.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $306.42 / $1,539.68 / $3,500.05	Facility		$306.42	$1,539.68	$3,500.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $308.63 / $560.77 / $2,102.64	Professional		$308.63	$560.77	$2,102.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.33 / $466.83 / $636.00	Facility		$271.33	$466.83	$636.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.65 / $428.70 / $800.98	Professional		$236.65	$428.70	$800.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $234.12 / $412.23 / $761.29	Facility		$234.12	$412.23	$761.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.99 / $398.02 / $661.35	Professional		$232.99	$398.02	$661.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $247.27 / $647.53	Professional		$39.46	$247.27	$647.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $346.39 / $513.22 / $571.51	Facility		$346.39	$513.22	$571.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.45 / $389.82 / $390.03	Facility		$210.45	$389.82	$390.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.48 / $485.87 / $742.20	Professional		$319.48	$485.87	$742.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,679.53 / $2,590.05 / $4,954.47	Facility		$1,679.53	$2,590.05	$4,954.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $318.02 / $460.64 / $652.37	Professional		$318.02	$460.64	$652.37
United Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $887.00 / $4,611.00	Facility		$425.00	$887.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $282.94 / $470.40 / $811.31	Professional		$282.94	$470.40	$811.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $214.65 / $237.97 / $322.38	Professional		$214.65	$237.97	$322.38