Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.23 / $521.00 / $12,214.00	Facility		$184.23	$521.00	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.26 / $152.61 / $346.47	Professional		$103.26	$152.61	$346.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $182.07 / $182.07 / $182.07	Professional		$182.07	$182.07	$182.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $85.46 / $854.53 / $1,739.05	Facility		$85.46	$854.53	$1,739.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $178.29 / $311.02 / $1,134.24	Professional		$178.29	$311.02	$1,134.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.84 / $110.84 / $184.66	Facility		$110.84	$110.84	$184.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.18 / $262.08 / $461.66	Professional		$158.18	$262.08	$461.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $124.42 / $225.50 / $367.64	Facility		$124.42	$225.50	$367.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.93 / $222.70 / $335.47	Professional		$124.93	$222.70	$335.47
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 $171.57 / $255.94 / $308.87	Facility		$171.57	$255.94	$308.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.46 / $205.66 / $210.68	Facility		$85.46	$205.66	$210.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.13 / $263.02 / $386.18	Professional		$174.13	$263.02	$386.18
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 $162.09 / $235.80 / $356.81	Professional		$162.09	$235.80	$356.81
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $910.00 / $5,793.00	Facility		$190.00	$910.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $330.81 / $464.63	Professional		$183.48	$330.81	$464.63