Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.37 / $509.02 / $13,750.00	Facility		$226.37	$509.02	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.84 / $311.73 / $751.53	Professional		$142.84	$311.73	$751.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $205.01 / $205.01 / $205.01	Professional		$205.01	$205.01	$205.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,390.69 / $4,418.06	Facility		$55.00	$2,390.69	$4,418.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $200.09 / $399.72 / $1,538.08	Professional		$200.09	$399.72	$1,538.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $1,499.24	Facility		$500.00	$870.49	$1,499.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.37 / $323.23 / $592.74	Professional		$168.37	$323.23	$592.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $170.19 / $322.26 / $1,314.78	Facility		$170.19	$322.26	$1,314.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $297.70 / $947.79	Professional		$160.91	$297.70	$947.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $325.07 / $551.59	Professional		$54.32	$325.07	$551.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $246.56 / $379.02 / $419.42	Facility		$246.56	$379.02	$419.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $284.70 / $420.93 / $874.44	Facility		$284.70	$420.93	$874.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.76 / $326.37 / $542.07	Professional		$203.76	$326.37	$542.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,408.21 / $3,344.18 / $6,397.05	Facility		$2,408.21	$3,344.18	$6,397.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $206.79 / $334.13 / $482.20	Professional		$206.79	$334.13	$482.20
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 $212.15 / $345.01 / $598.61	Professional		$212.15	$345.01	$598.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.37 / $169.78 / $226.66	Professional		$130.37	$169.78	$226.66