Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $457.44 / $9,248.00	Facility		$70.98	$457.44	$9,248.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.71 / $96.19 / $272.45	Professional		$51.71	$96.19	$272.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.03 / $154.00 / $182.00	Professional		$133.03	$154.00	$182.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $82.17 / $165.27 / $228.57	Facility		$82.17	$165.27	$228.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $90.90 / $206.00 / $822.08	Professional		$90.90	$206.00	$822.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.81 / $138.21 / $335.39	Professional		$80.81	$138.21	$335.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $64.93 / $120.17 / $179.72	Facility		$64.93	$120.17	$179.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.54 / $120.17 / $185.36	Professional		$68.54	$120.17	$185.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $327.97 / $635.77 / $852.72	Professional		$327.97	$635.77	$852.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $94.40 / $142.13 / $221.77	Facility		$94.40	$142.13	$221.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $151.27 / $151.76	Facility		$151.27	$151.27	$151.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.54 / $151.27 / $276.72	Professional		$89.54	$151.27	$276.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $165.27 / $220.36	Facility		$137.72	$165.27	$220.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $80.78 / $143.91 / $252.17	Professional		$80.78	$143.91	$252.17
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 $109.20 / $206.88 / $320.56	Professional		$109.20	$206.88	$320.56