Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.67 / $525.84 / $9,703.00	Facility		$67.67	$525.84	$9,703.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $130.03 / $357.85	Professional		$35.65	$130.03	$357.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.54 / $62.42 / $69.98	Professional		$49.54	$62.42	$69.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $317.77 / $522.67	Facility		$55.00	$317.77	$522.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $64.43 / $321.98 / $1,320.08	Professional		$64.43	$321.98	$1,320.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.61 / $127.05 / $487.60	Professional		$47.61	$127.05	$487.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $51.01 / $129.58 / $379.67	Facility		$51.01	$129.58	$379.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.32 / $129.58 / $416.96	Professional		$52.32	$129.58	$416.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $271.59 / $457.78	Professional		$45.46	$271.59	$457.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $76.59 / $285.92 / $358.45	Facility		$76.59	$285.92	$358.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.50 / $244.50 / $256.39	Facility		$244.50	$244.50	$256.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $223.97 / $477.97	Professional		$65.06	$223.97	$477.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $135.85 / $406.33	Professional		$66.05	$135.85	$406.33
United Facility/Professional Facility Modifier Low / Median / High Price $414.00 / $666.00 / $6,216.00	Facility		$414.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.92 / $297.49 / $535.03	Professional		$180.92	$297.49	$535.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.83 / $37.83 / $200.02	Professional		$37.83	$37.83	$200.02