Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.09 / $817.42 / $8,172.25	Facility		$121.09	$817.42	$8,172.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.53 / $125.65 / $315.00	Professional		$67.53	$125.65	$315.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.42 / $107.37 / $201.86	Professional		$84.42	$107.37	$201.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $854.53 / $1,739.05	Facility		$65.88	$854.53	$1,739.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $120.05 / $219.82 / $852.00	Professional		$120.05	$219.82	$852.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.77 / $82.77 / $137.90	Facility		$82.77	$82.77	$137.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.80 / $179.66 / $334.98	Professional		$105.80	$179.66	$334.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $88.66 / $154.41 / $288.04	Facility		$88.66	$154.41	$288.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.21 / $148.16 / $237.73	Professional		$90.21	$148.16	$237.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $167.04 / $273.41	Professional		$25.91	$167.04	$273.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $122.28 / $180.23 / $223.11	Facility		$122.28	$180.23	$223.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $150.40 / $152.18	Facility		$65.88	$150.40	$152.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.19 / $173.58 / $278.95	Professional		$118.19	$173.58	$278.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $553.79 / $908.60 / $1,739.05	Facility		$553.79	$908.60	$1,739.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $106.08 / $163.51 / $257.74	Professional		$106.08	$163.51	$257.74
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 $127.00 / $231.55 / $336.83	Professional		$127.00	$231.55	$336.83