Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.28 / $523.54 / $10,122.46	Facility		$79.28	$523.54	$10,122.46
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $27.83 / $63.61 / $251.45	Facility	52	$27.83	$63.61	$251.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.85 / $162.83 / $429.07	Professional		$44.85	$162.83	$429.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $382.10 / $382.10 / $382.10	Professional		$382.10	$382.10	$382.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $411.84 / $664.27	Facility		$55.00	$411.84	$664.27
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $88.50 / $155.00 / $155.00	Facility	52	$88.50	$155.00	$155.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $349.00 / $2,111.16	Professional		$71.37	$349.00	$2,111.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.37 / $168.26 / $570.16	Professional		$53.37	$168.26	$570.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $57.39 / $164.30 / $485.18	Facility		$57.39	$164.30	$485.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.48 / $164.30 / $495.73	Professional		$60.48	$164.30	$495.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.57 / $326.08 / $548.67	Professional		$54.57	$326.08	$548.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $198.80 / $360.18 / $421.43	Facility		$198.80	$360.18	$421.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.45 / $287.45 / $295.81	Facility		$287.45	$287.45	$295.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.40 / $272.26 / $564.30	Professional		$76.40	$272.26	$564.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $159.53 / $483.76	Professional		$71.37	$159.53	$483.76
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 $212.21 / $342.08 / $608.96	Professional		$212.21	$342.08	$608.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.52 / $44.52 / $235.52	Professional		$44.52	$44.52	$235.52