Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.66 / $521.54 / $14,464.32	Facility		$293.66	$521.54	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.07 / $197.32 / $492.09	Professional		$124.07	$197.32	$492.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $385.00 / $473.10 / $511.46	Professional		$385.00	$473.10	$511.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $358.32 / $811.42	Facility		$55.00	$358.32	$811.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $289.70 / $552.91 / $1,923.92	Professional		$289.70	$552.91	$1,923.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.93 / $444.55 / $791.58	Professional		$213.93	$444.55	$791.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $174.53 / $290.70 / $461.38	Facility		$174.53	$290.70	$461.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.16 / $301.30 / $504.84	Professional		$177.16	$301.30	$504.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.41 / $429.98 / $706.80	Professional		$67.41	$429.98	$706.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $227.36 / $374.35 / $535.33	Facility		$227.36	$374.35	$535.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $358.32 / $358.32 / $365.14	Facility		$358.32	$358.32	$365.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.76 / $459.19 / $669.32	Professional		$309.76	$459.19	$669.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $268.57 / $417.19 / $618.42	Professional		$268.57	$417.19	$618.42
United Facility/Professional Facility Modifier Low / Median / High Price $255.54 / $2,446.00 / $36,803.00	Facility		$255.54	$2,446.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $250.32 / $474.23 / $758.10	Professional		$250.32	$474.23	$758.10