Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.91 / $504.71 / $12,214.00	Facility		$203.91	$504.71	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.52 / $249.82 / $632.50	Professional		$125.52	$249.82	$632.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $266.66 / $266.66 / $266.66	Professional		$266.66	$266.66	$266.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,327.80 / $6,827.45	Facility		$55.00	$3,327.80	$6,827.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $216.48 / $512.24 / $1,959.28	Professional		$216.48	$512.24	$1,959.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.89 / $714.97 / $947.00	Facility		$264.89	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $355.00 / $744.18	Professional		$172.00	$355.00	$744.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $176.88 / $333.26 / $734.39	Facility		$176.88	$333.26	$734.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.86 / $321.44 / $619.36	Professional		$172.86	$321.44	$619.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $247.27 / $647.53	Professional		$39.46	$247.27	$647.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $266.06 / $487.34 / $533.99	Facility		$266.06	$487.34	$533.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.82 / $362.40 / $364.23	Facility		$205.82	$362.40	$364.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.59 / $371.00 / $685.24	Professional		$222.59	$371.00	$685.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,770.96 / $5,167.93 / $9,885.68	Facility		$3,770.96	$5,167.93	$9,885.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $226.00 / $384.00 / $612.26	Professional		$226.00	$384.00	$612.26
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 $266.70 / $436.01 / $752.41	Professional		$266.70	$436.01	$752.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.02 / $219.75 / $299.75	Professional		$147.02	$219.75	$299.75