Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.95 / $254.22 / $9,703.00	Facility		$75.95	$254.22	$9,703.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $94.23 / $254.22	Professional		$38.36	$94.23	$254.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $194.12 / $246.77	Professional		$83.68	$194.12	$246.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $281.39 / $489.19	Facility		$55.00	$281.39	$489.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $208.11 / $870.16	Professional		$65.20	$208.11	$870.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.92 / $123.52 / $348.44	Professional		$52.92	$123.52	$348.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $52.89 / $106.82 / $234.08	Facility		$52.89	$106.82	$234.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.24 / $102.33 / $225.40	Professional		$51.24	$102.33	$225.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $218.43 / $371.34	Professional		$35.74	$218.43	$371.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.42 / $188.55 / $237.18	Facility		$81.42	$188.55	$237.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.78 / $161.78 / $165.80	Facility		$161.78	$161.78	$165.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.11 / $137.88 / $311.38	Professional		$68.11	$137.88	$311.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $234.74 / $362.00 / $692.47	Facility		$234.74	$362.00	$692.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $130.08 / $268.92	Professional		$68.56	$130.08	$268.92
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 $104.51 / $177.86 / $347.57	Professional		$104.51	$177.86	$347.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $94.69 / $131.26	Professional		$45.23	$94.69	$131.26