Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.60 / $636.33 / $10,122.46	Facility		$121.60	$636.33	$10,122.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $662.41 / $662.41 / $3,185.70	Facility	50	$662.41	$662.41	$3,185.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.02 / $197.18 / $604.14	Professional		$63.02	$197.18	$604.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $93.56 / $200.16 / $574.54	Professional	50	$93.56	$200.16	$574.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.19 / $64.19 / $64.19	Professional		$64.19	$64.19	$64.19
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $180.04 / $180.04 / $180.04	Professional	50	$180.04	$180.04	$180.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $355.61 / $531.49	Facility		$55.00	$355.61	$531.49
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $797.24 / $797.24 / $797.24	Facility	50	$797.24	$797.24	$797.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $114.86 / $450.11 / $2,060.00	Professional		$114.86	$450.11	$2,060.00
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $174.09 / $202.53 / $736.85	Professional	50	$174.09	$202.53	$736.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $870.49	Facility		$500.00	$714.97	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $210.36 / $726.68	Professional		$87.87	$210.36	$726.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $183.94 / $490.09	Facility		$83.18	$183.94	$490.09
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $666.96 / $666.96 / $666.96	Facility	50	$666.96	$666.96	$666.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.65 / $183.94 / $493.19	Professional		$83.65	$183.94	$493.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $352.15 / $629.43	Professional		$62.05	$352.15	$629.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $133.52 / $384.88 / $513.89	Facility		$133.52	$384.88	$513.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $350.52 / $350.52 / $355.61	Facility		$350.52	$350.52	$355.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.41 / $200.03 / $611.63	Professional		$109.41	$200.03	$611.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $421.87 / $421.87 / $531.49	Facility		$421.87	$421.87	$531.49
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $632.80 / $632.80 / $797.24	Facility	50	$632.80	$632.80	$797.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $106.08 / $215.36 / $577.17	Professional		$106.08	$215.36	$577.17
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 $234.96 / $353.23 / $702.92	Professional		$234.96	$353.23	$702.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.81 / $205.94 / $285.29	Professional		$69.81	$205.94	$285.29