Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.56 / $521.45 / $13,809.00	Facility		$272.56	$521.45	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.21 / $175.77 / $397.40	Professional		$103.21	$175.77	$397.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.93 / $299.86 / $301.99	Professional		$149.93	$299.86	$301.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $150.16 / $846.34 / $1,739.05	Facility		$150.16	$846.34	$1,739.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $253.35 / $454.20 / $1,722.00	Professional		$253.35	$454.20	$1,722.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.86 / $386.27 / $386.27	Facility		$231.86	$386.27	$386.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.73 / $380.42 / $695.94	Professional		$224.73	$380.42	$695.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $189.28 / $324.48 / $554.16	Facility		$189.28	$324.48	$554.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.94 / $338.74 / $511.39	Professional		$189.94	$338.74	$511.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.33 / $382.36 / $627.15	Professional		$60.33	$382.36	$627.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $246.43 / $380.12 / $461.63	Facility		$246.43	$380.12	$461.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.16 / $304.87 / $314.87	Facility		$150.16	$304.87	$314.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.80 / $386.12 / $577.17	Professional		$269.80	$386.12	$577.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $663.37 / $908.60 / $1,739.05	Facility		$663.37	$908.60	$1,739.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $242.86 / $352.42 / $523.33	Professional		$242.86	$352.42	$523.33
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 $242.54 / $483.71 / $651.71	Professional		$242.54	$483.71	$651.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $163.24 / $256.37	Professional		$163.24	$163.24	$256.37