Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.09 / $223.70 / $14,464.32	Facility		$114.09	$223.70	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $111.08 / $223.70	Professional		$71.56	$111.08	$223.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.29 / $100.29 / $100.29	Professional		$100.29	$100.29	$100.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.21 / $786.75 / $1,605.58	Facility		$100.21	$786.75	$1,605.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $112.31 / $180.54 / $684.24	Professional		$112.31	$180.54	$684.24
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $200.58 / $276.48 / $325.50	Professional	50	$200.58	$276.48	$325.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.79 / $714.97 / $870.49	Facility		$108.79	$714.97	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.18 / $142.71 / $255.91	Professional		$82.18	$142.71	$255.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $73.30 / $132.97 / $215.85	Facility		$73.30	$132.97	$215.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.30 / $130.88 / $207.38	Professional		$73.30	$130.88	$207.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.21 / $101.01 / $178.11	Professional		$18.21	$101.01	$178.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $115.42 / $162.81 / $182.91	Facility		$115.42	$162.81	$182.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $120.50 / $124.76	Facility		$33.36	$120.50	$124.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.97 / $162.94 / $223.38	Professional		$109.97	$162.94	$223.38
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 $104.46 / $147.91 / $214.97	Professional		$104.46	$147.91	$214.97
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 $106.63 / $144.99 / $254.61	Professional		$106.63	$144.99	$254.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.27 / $75.92 / $100.29	Professional		$72.27	$75.92	$100.29