Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.45 / $667.51 / $12,214.00	Facility		$55.45	$667.51	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $122.66 / $325.27	Professional		$28.76	$122.66	$325.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $47.67 / $54.02	Professional		$47.67	$47.67	$54.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $244.18 / $549.73 / $962.78	Facility		$244.18	$549.73	$962.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $53.93 / $252.78 / $1,005.20	Professional		$53.93	$252.78	$1,005.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.58 / $308.58 / $308.58	Facility		$308.58	$308.58	$308.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $98.84 / $408.33	Professional		$37.44	$98.84	$408.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $47.02 / $199.46 / $417.22	Facility		$47.02	$199.46	$417.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $158.41 / $404.68	Professional		$44.64	$158.41	$404.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.06 / $215.62 / $361.37	Professional		$37.06	$215.62	$361.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $131.96 / $263.68 / $312.22	Facility		$131.96	$263.68	$312.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.73 / $185.73 / $186.00	Facility		$185.73	$185.73	$186.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $185.23 / $369.19	Professional		$53.12	$185.23	$369.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $450.29 / $694.41 / $1,328.33	Facility		$450.29	$694.41	$1,328.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.93 / $110.92 / $335.69	Professional		$53.93	$110.92	$335.69
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 $172.06 / $290.77 / $433.21	Professional		$172.06	$290.77	$433.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $30.98 / $153.71	Professional		$30.98	$30.98	$153.71