Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.44 / $490.32 / $17,930.00	Facility		$295.44	$490.32	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.31 / $271.26 / $541.35	Professional		$117.31	$271.26	$541.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $86.94 / $499.14	Professional		$86.94	$86.94	$499.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,539.68 / $3,421.76	Facility		$55.00	$1,539.68	$3,421.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $280.55 / $601.82 / $2,308.96	Professional		$280.55	$601.82	$2,308.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.40 / $714.97 / $947.00	Facility		$339.40	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.19 / $413.92 / $879.89	Professional		$189.19	$413.92	$879.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $168.33 / $323.39 / $810.48	Facility		$168.33	$323.39	$810.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.44 / $304.50 / $590.28	Professional		$167.44	$304.50	$590.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $265.92 / $693.78	Professional		$39.46	$265.92	$693.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $259.69 / $515.90 / $628.46	Facility		$259.69	$515.90	$628.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $270.27 / $428.67 / $433.97	Facility		$270.27	$428.67	$433.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.14 / $489.74 / $821.07	Professional		$301.14	$489.74	$821.07
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 $296.93 / $487.14 / $712.41	Professional		$296.93	$487.14	$712.41
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 $265.52 / $478.25 / $916.26	Professional		$265.52	$478.25	$916.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $207.43 / $259.22 / $357.39	Professional		$207.43	$259.22	$357.39