Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $128.26 / $7,920.26	Facility		$35.29	$128.26	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $59.93 / $123.26	Professional		$29.26	$59.93	$123.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $68.26 / $68.26	Professional		$68.26	$68.26	$68.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $60.25 / $340.26 / $692.47	Facility		$60.25	$340.26	$692.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $81.99 / $427.97	Professional		$43.88	$81.99	$427.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $74.70 / $135.26	Professional		$40.72	$74.70	$135.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $39.25 / $71.61 / $150.19	Facility		$39.25	$71.61	$150.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $67.02 / $133.51	Professional		$39.25	$67.02	$133.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $110.96 / $180.72	Professional		$17.03	$110.96	$180.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.46 / $86.29 / $102.70	Facility		$51.46	$86.29	$102.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.25 / $60.25 / $61.24	Facility		$60.25	$60.25	$61.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.68 / $68.30 / $112.75	Professional		$43.68	$68.30	$112.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $234.74 / $361.80 / $692.47	Facility		$234.74	$361.80	$692.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $65.19 / $103.72	Professional		$40.39	$65.19	$103.72
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.31 / $96.07 / $128.41	Professional		$56.31	$96.07	$128.41