Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.27 / $519.32 / $14,464.32	Facility		$283.27	$519.32	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.77 / $219.95 / $445.52	Professional		$142.77	$219.95	$445.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $196.14 / $196.14 / $196.14	Professional		$196.14	$196.14	$196.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,054.06 / $4,418.06	Facility		$55.00	$2,054.06	$4,418.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $243.43 / $430.34 / $1,607.52	Professional		$243.43	$430.34	$1,607.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.21 / $714.97 / $1,258.00	Facility		$221.21	$714.97	$1,258.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.65 / $345.87 / $613.64	Professional		$188.65	$345.87	$613.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $185.38 / $327.64 / $590.91	Facility		$185.38	$327.64	$590.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.09 / $323.30 / $511.18	Professional		$184.09	$323.30	$511.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.08 / $324.75 / $579.24	Professional		$56.08	$324.75	$579.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $282.74 / $393.29 / $436.84	Facility		$282.74	$393.29	$436.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.44 / $297.17 / $297.95	Facility		$168.44	$297.17	$297.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.38 / $379.47 / $567.30	Professional		$251.38	$379.47	$567.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,168.55 / $3,344.18 / $6,397.05	Facility		$2,168.55	$3,344.18	$6,397.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $253.74 / $354.49 / $504.65	Professional		$253.74	$354.49	$504.65
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 $231.91 / $357.50 / $627.58	Professional		$231.91	$357.50	$627.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $172.34 / $183.58 / $250.48	Professional		$172.34	$183.58	$250.48