Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.63 / $243.02 / $12,214.00	Facility		$89.63	$243.02	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $123.89 / $243.02	Professional		$65.34	$123.89	$243.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.44 / $117.44 / $117.44	Professional		$117.44	$117.44	$117.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $298.95 / $384.06	Facility		$55.00	$298.95	$384.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $103.67 / $233.92 / $2,196.87	Professional		$103.67	$233.92	$2,196.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.39 / $157.12 / $347.43	Professional		$78.39	$157.12	$347.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $84.72 / $156.13 / $277.61	Facility		$84.72	$156.13	$277.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $156.13 / $297.13	Professional		$86.96	$156.13	$297.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $216.82 / $364.69	Professional		$36.40	$216.82	$364.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $137.88 / $218.96 / $258.62	Facility		$137.88	$218.96	$258.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.22 / $176.22 / $176.40	Facility		$176.22	$176.22	$176.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $179.89 / $332.99	Professional		$114.01	$179.89	$332.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $103.72 / $179.72 / $289.08	Professional		$103.72	$179.72	$289.08
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 $128.66 / $216.03 / $373.64	Professional		$128.66	$216.03	$373.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.40 / $69.40 / $143.19	Professional		$69.40	$69.40	$143.19