Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.16 / $359.50 / $14,464.32	Facility		$84.16	$359.50	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $119.09 / $244.27	Professional		$42.10	$119.09	$244.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.90 / $64.90 / $64.90	Professional		$64.90	$64.90	$64.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $125.93 / $793.41 / $1,619.17	Facility		$125.93	$793.41	$1,619.17
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $169.50 / $385.43	Professional		$77.73	$169.50	$385.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.09 / $714.97 / $870.49	Facility		$134.09	$714.97	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.52 / $136.50 / $264.83	Professional		$59.52	$136.50	$264.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $60.03 / $122.66 / $318.74	Facility		$60.03	$122.66	$318.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.03 / $121.82 / $306.06	Professional		$60.03	$121.82	$306.06
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 $90.45 / $180.22 / $237.85	Facility		$90.45	$180.22	$237.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.66 / $125.93 / $134.10	Facility		$44.66	$125.93	$134.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.63 / $126.59 / $230.88	Professional		$76.63	$126.59	$230.88
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 $73.23 / $128.44 / $228.47	Professional		$73.23	$128.44	$228.47
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $274.14 / $5,793.00	Facility		$157.00	$274.14	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.11 / $191.50 / $279.67	Professional		$117.11	$191.50	$279.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $75.92 / $102.18	Professional		$47.72	$75.92	$102.18