Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.63 / $681.61 / $8,459.68	Facility		$210.63	$681.61	$8,459.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.77 / $193.24 / $548.00	Professional		$112.77	$193.24	$548.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.59 / $273.69 / $337.35	Professional		$147.59	$273.69	$337.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $161.22 / $786.75 / $1,605.58	Facility		$161.22	$786.75	$1,605.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $204.39 / $314.86 / $1,107.53	Professional		$204.39	$314.86	$1,107.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.41 / $714.97 / $870.49	Facility		$162.41	$714.97	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.28 / $248.17 / $424.46	Professional		$145.28	$248.17	$424.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $121.89 / $239.77 / $367.27	Facility		$121.89	$239.77	$367.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.89 / $227.61 / $363.75	Professional		$121.89	$227.61	$363.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $215.70 / $391.30	Professional		$39.61	$215.70	$391.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $201.55 / $278.31 / $310.88	Facility		$201.55	$278.31	$310.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.69 / $207.93 / $212.05	Facility		$53.69	$207.93	$212.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $290.97 / $385.91	Professional		$203.00	$290.97	$385.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $544.28 / $838.87 / $1,605.58	Facility		$544.28	$838.87	$1,605.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $180.25 / $270.87 / $379.81	Professional		$180.25	$270.87	$379.81
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 $181.44 / $250.74 / $439.86	Professional		$181.44	$250.74	$439.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.99 / $128.34 / $163.46	Professional		$126.99	$128.34	$163.46