Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.13 / $296.52 / $14,464.32	Facility		$148.13	$296.52	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.78 / $119.44 / $296.52	Professional		$75.78	$119.44	$296.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $314.61 / $314.61 / $314.61	Professional		$314.61	$314.61	$314.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $165.89 / $435.49	Facility		$55.00	$165.89	$435.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $139.34 / $230.94 / $881.76	Professional		$139.34	$230.94	$881.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.01 / $173.36 / $335.75	Professional		$102.01	$173.36	$335.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $93.07 / $171.75 / $269.76	Facility		$93.07	$171.75	$269.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.07 / $172.69 / $277.37	Professional		$93.07	$172.69	$277.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $151.85 / $268.52	Professional		$27.16	$151.85	$268.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $146.52 / $219.52 / $243.21	Facility		$146.52	$219.52	$243.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.53 / $163.53 / $165.89	Facility		$163.53	$163.53	$165.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $202.54 / $300.06	Professional		$137.93	$202.54	$300.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $130.86 / $193.86 / $292.14	Professional		$130.86	$193.86	$292.14
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 $140.69 / $187.62 / $341.99	Professional		$140.69	$187.62	$341.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.41 / $100.21 / $131.37	Professional		$84.41	$100.21	$131.37