Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.78 / $160.57 / $14,464.32	Facility		$57.78	$160.57	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.53 / $54.96 / $111.43	Professional		$34.53	$54.96	$111.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.67 / $37.67 / $56.94	Professional		$37.67	$37.67	$56.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $827.67 / $1,871.98	Facility		$55.00	$827.67	$1,871.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $58.19 / $88.91 / $289.80	Professional		$58.19	$88.91	$289.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.97 / $670.00 / $761.81	Facility		$45.97	$670.00	$761.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.72 / $78.09 / $127.74	Professional		$43.72	$78.09	$127.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $34.72 / $75.75 / $139.34	Facility		$34.72	$75.75	$139.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $75.69 / $124.74	Professional		$34.72	$75.69	$124.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $101.53 / $178.26	Professional		$18.01	$101.53	$178.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $87.54 / $107.20	Facility		$64.95	$87.54	$107.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $59.34 / $60.78	Facility		$13.80	$59.34	$60.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.65 / $80.73 / $109.95	Professional		$56.65	$80.73	$109.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $557.88 / $846.46 / $1,619.17	Facility		$557.88	$846.46	$1,619.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.44 / $76.22 / $108.31	Professional		$51.44	$76.22	$108.31
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $78.20 / $127.50	Professional		$54.19	$78.20	$127.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.59 / $36.99 / $48.21	Professional		$35.59	$36.99	$48.21