Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.73 / $858.25 / $11,522.02	Facility		$126.73	$858.25	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $313.43 / $830.39	Professional		$71.81	$313.43	$830.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.62 / $120.62 / $120.62	Professional		$120.62	$120.62	$120.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $570.34 / $7,488.95 / $13,248.98	Facility		$570.34	$7,488.95	$13,248.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $126.05 / $705.67 / $3,076.08	Professional		$126.05	$705.67	$3,076.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.48 / $272.16 / $1,137.33	Professional		$96.48	$272.16	$1,137.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $109.81 / $384.93 / $3,249.35	Facility		$109.81	$384.93	$3,249.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $105.40 / $281.17 / $999.90	Professional		$105.40	$281.17	$999.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.10 / $652.51 / $1,102.97	Professional		$109.10	$652.51	$1,102.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $356.98 / $736.33 / $836.16	Facility		$356.98	$736.33	$836.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $570.34 / $570.34 / $597.51	Facility		$570.34	$570.34	$597.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.96 / $308.49 / $1,112.65	Professional		$122.96	$308.49	$1,112.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,718.33 / $9,804.29 / $18,754.53	Facility		$6,718.33	$9,804.29	$18,754.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.83 / $256.74 / $947.86	Professional		$125.83	$256.74	$947.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,623.00 / $12,835.00	Facility		$2,155.00	$3,623.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $417.61 / $634.27 / $1,241.64	Professional		$417.61	$634.27	$1,241.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $73.09 / $469.70	Professional		$73.09	$73.09	$469.70