Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.19 / $572.50 / $14,464.32	Facility		$254.19	$572.50	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.06 / $222.95 / $491.21	Professional		$127.06	$222.95	$491.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $438.30 / $438.30 / $438.30	Professional		$438.30	$438.30	$438.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $972.72 / $1,492.86	Facility		$55.00	$972.72	$1,492.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $220.79 / $465.16 / $1,789.52	Professional		$220.79	$465.16	$1,789.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.46 / $466.83 / $636.00	Facility		$235.46	$466.83	$636.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.31 / $351.02 / $677.10	Professional		$175.31	$351.02	$677.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $179.91 / $331.07 / $623.40	Facility		$179.91	$331.07	$623.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.43 / $318.77 / $580.26	Professional		$173.43	$318.77	$580.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $212.94 / $559.41	Professional		$39.46	$212.94	$559.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $264.64 / $453.59 / $485.75	Facility		$264.64	$453.59	$485.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.34 / $323.44 / $331.33	Facility		$177.34	$323.44	$331.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.02 / $369.35 / $622.08	Professional		$227.02	$369.35	$622.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $732.75 / $1,130.00 / $2,161.55	Facility		$732.75	$1,130.00	$2,161.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $229.15 / $372.75 / $560.89	Professional		$229.15	$372.75	$560.89
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 $247.50 / $396.15 / $694.20	Professional		$247.50	$396.15	$694.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.60 / $201.53 / $273.94	Professional		$151.60	$201.53	$273.94