Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $295.45 / $14,464.32	Facility		$151.16	$295.45	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.22 / $126.37 / $282.45	Professional		$91.22	$126.37	$282.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.91 / $178.91 / $178.91	Professional		$178.91	$178.91	$178.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $73.00 / $530.79 / $1,080.21	Facility		$73.00	$530.79	$1,080.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $155.83 / $264.69 / $943.60	Professional		$155.83	$264.69	$943.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.73 / $94.73 / $157.82	Facility		$94.73	$94.73	$157.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.11 / $232.23 / $384.08	Professional		$133.11	$232.23	$384.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $102.92 / $193.69 / $300.67	Facility		$102.92	$193.69	$300.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $193.69 / $274.73	Professional		$106.33	$193.69	$274.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $221.93 / $361.44	Professional		$34.22	$221.93	$361.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.69 / $208.71 / $256.61	Facility		$138.69	$208.71	$256.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.00 / $171.69 / $175.03	Facility		$73.00	$171.69	$175.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.83 / $228.61 / $320.83	Professional		$155.83	$228.61	$320.83
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 $145.93 / $207.34 / $296.44	Professional		$145.93	$207.34	$296.44
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 $144.90 / $231.15 / $368.82	Professional		$144.90	$231.15	$368.82