Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.39 / $607.00 / $6,522.00	Facility		$105.39	$607.00	$6,522.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $133.01 / $427.30	Professional		$56.33	$133.01	$427.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.40 / $102.70 / $435.19	Professional		$38.40	$102.70	$435.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $336.80 / $422.72	Facility		$55.00	$336.80	$422.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $92.78 / $375.08 / $2,108.33	Professional		$92.78	$375.08	$2,108.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $164.14 / $650.58	Professional		$69.84	$164.14	$650.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $78.34 / $145.13 / $338.05	Facility		$78.34	$145.13	$338.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.98 / $145.13 / $359.52	Professional		$78.98	$145.13	$359.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.24 / $382.13 / $642.38	Professional		$64.24	$382.13	$642.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $133.46 / $370.51 / $486.42	Facility		$133.46	$370.51	$486.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.78 / $331.78 / $342.92	Facility		$331.78	$331.78	$342.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.26 / $257.83 / $618.46	Professional		$103.26	$257.83	$618.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $182.40 / $551.40	Professional		$92.57	$182.40	$551.40
United Facility/Professional Facility Modifier Low / Median / High Price $414.00 / $666.00 / $6,216.00	Facility		$414.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.35 / $326.27 / $704.89	Professional		$171.35	$326.27	$704.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.24 / $62.24 / $268.63	Professional		$62.24	$62.24	$268.63