Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.34 / $172.88 / $864.39	Facility		$63.34	$172.88	$864.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $96.76 / $224.03	Professional		$33.26	$96.76	$224.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $88.55 / $793.41 / $1,619.17	Facility		$88.55	$793.41	$1,619.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $159.94 / $348.31	Professional		$59.63	$159.94	$348.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.22 / $714.97 / $870.49	Facility		$153.22	$714.97	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.82 / $113.35 / $268.83	Professional		$44.82	$113.35	$268.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $44.88 / $117.99 / $305.48	Facility		$44.88	$117.99	$305.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $114.98 / $295.01	Professional		$44.88	$114.98	$295.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $151.02 / $267.18	Professional		$27.61	$151.02	$267.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $69.42 / $180.03 / $225.12	Facility		$69.42	$180.03	$225.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.18 / $125.03 / $150.66	Facility		$50.18	$125.03	$150.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.03 / $115.64 / $229.21	Professional		$59.03	$115.64	$229.21
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 $55.47 / $114.28 / $228.06	Professional		$55.47	$114.28	$228.06
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 $117.11 / $182.99 / $265.51	Professional		$117.11	$182.99	$265.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $75.64 / $103.46	Professional		$35.97	$75.64	$103.46