Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.72 / $149.21 / $14,464.32	Facility		$83.72	$149.21	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $80.20 / $190.00	Professional		$47.06	$80.20	$190.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $23.53 / $40.11 / $83.35	Professional	52	$23.53	$40.11	$83.35
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $9.41 / $16.04 / $33.34	Professional	53	$9.41	$16.04	$33.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.67 / $114.67 / $114.67	Professional		$114.67	$114.67	$114.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $530.79 / $1,080.21	Facility		$55.00	$530.79	$1,080.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $83.06 / $148.31 / $552.16	Professional		$83.06	$148.31	$552.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.72 / $54.72 / $91.17	Facility		$54.72	$54.72	$91.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.25 / $124.39 / $224.60	Professional		$73.25	$124.39	$224.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $61.43 / $109.23 / $192.08	Facility		$61.43	$109.23	$192.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.31 / $109.23 / $177.91	Professional		$63.31	$109.23	$177.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $110.96 / $180.72	Professional		$17.11	$110.96	$180.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.38 / $132.96 / $150.08	Facility		$83.38	$132.96	$150.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.08 / $100.57 / $102.37	Facility		$43.08	$100.57	$102.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.78 / $121.33 / $187.64	Professional		$81.78	$121.33	$187.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $366.18 / $564.38 / $1,080.21	Facility		$366.18	$564.38	$1,080.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $73.77 / $113.71 / $173.38	Professional		$73.77	$113.71	$173.38
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 $86.25 / $139.75 / $216.28	Professional		$86.25	$139.75	$216.28