Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.57 / $525.30 / $11,522.02	Facility		$208.57	$525.30	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.61 / $180.91 / $463.23	Professional		$99.61	$180.91	$463.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.93 / $178.93 / $178.93	Professional		$178.93	$178.93	$178.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,054.06 / $4,418.06	Facility		$55.00	$2,054.06	$4,418.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $180.32 / $410.87 / $1,581.52	Professional		$180.32	$410.87	$1,581.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.19 / $466.83 / $636.00	Facility		$204.19	$466.83	$636.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.12 / $290.00 / $600.35	Professional		$143.12	$290.00	$600.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $142.33 / $263.97 / $559.40	Facility		$142.33	$263.97	$559.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.12 / $256.89 / $459.40	Professional		$141.12	$256.89	$459.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.69 / $298.44 / $520.61	Professional		$49.69	$298.44	$520.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $220.80 / $351.75 / $431.48	Facility		$220.80	$351.75	$431.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.66 / $292.64 / $294.31	Facility		$161.66	$292.64	$294.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.15 / $308.83 / $550.36	Professional		$187.15	$308.83	$550.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,554.42 / $3,344.18 / $6,397.05	Facility		$2,554.42	$3,344.18	$6,397.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $189.84 / $320.26 / $489.12	Professional		$189.84	$320.26	$489.12
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 $199.12 / $339.01 / $620.79	Professional		$199.12	$339.01	$620.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.04 / $175.58 / $238.27	Professional		$123.04	$175.58	$238.27