Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.15 / $876.73 / $10,122.46	Facility		$201.15	$876.73	$10,122.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.28 / $201.15 / $441.91	Professional		$136.28	$201.15	$441.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.08 / $245.85 / $336.90	Professional		$165.08	$245.85	$336.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $83.68 / $854.53 / $1,739.05	Facility		$83.68	$854.53	$1,739.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $226.49 / $364.65 / $1,255.20	Professional		$226.49	$364.65	$1,255.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.07 / $108.07 / $180.04	Facility		$108.07	$108.07	$180.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.77 / $322.02 / $508.69	Professional		$189.77	$322.02	$508.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $141.36 / $283.42 / $412.48	Facility		$141.36	$283.42	$412.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.60 / $282.22 / $384.30	Professional		$142.60	$282.22	$384.30
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 $210.27 / $290.77 / $341.70	Facility		$210.27	$290.77	$341.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.68 / $229.67 / $233.07	Facility		$83.68	$229.67	$233.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.40 / $314.14 / $439.52	Professional		$219.40	$314.14	$439.52
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 $213.25 / $295.81 / $409.27	Professional		$213.25	$295.81	$409.27
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 $200.19 / $358.20 / $490.48	Professional		$200.19	$358.20	$490.48