Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.72 / $521.71 / $13,809.00	Facility		$132.72	$521.71	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $165.49 / $403.68	Professional		$67.09	$165.49	$403.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.06 / $142.06 / $142.06	Professional		$142.06	$142.06	$142.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,570.62 / $3,393.78	Facility		$55.00	$1,570.62	$3,393.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $116.32 / $361.50 / $1,562.72	Professional		$116.32	$361.50	$1,562.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $715.69 / $1,192.33	Facility		$500.00	$715.69	$1,192.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.35 / $224.64 / $595.16	Professional		$95.35	$224.64	$595.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $99.96 / $243.23 / $826.39	Facility		$99.96	$243.23	$826.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.56 / $217.50 / $601.79	Professional		$96.56	$217.50	$601.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.19 / $328.45 / $557.14	Professional		$53.19	$328.45	$557.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $235.42 / $378.83 / $431.39	Facility		$235.42	$378.83	$431.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.20 / $293.54 / $666.60	Facility		$290.20	$293.54	$666.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.60 / $249.43 / $552.00	Professional		$119.60	$249.43	$552.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,665.80 / $2,568.87 / $4,913.96	Facility		$1,665.80	$2,568.87	$4,913.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $121.19 / $267.51 / $491.49	Professional		$121.19	$267.51	$491.49
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 $221.16 / $343.38 / $615.99	Professional		$221.16	$343.38	$615.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.79 / $170.88 / $235.04	Professional		$76.79	$170.88	$235.04