Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.17 / $180.44 / $10,122.46	Facility		$67.17	$180.44	$10,122.46
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $175.64 / $175.64 / $175.64	Facility	50	$175.64	$175.64	$175.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $110.59 / $233.00	Professional		$53.10	$110.59	$233.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $164.63 / $309.06 / $400.71	Professional	50	$164.63	$309.06	$400.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.76 / $130.76 / $130.76	Professional		$130.76	$130.76	$130.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $107.81 / $340.26 / $692.47	Facility		$107.81	$340.26	$692.47
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $216.72 / $216.72 / $216.72	Facility	50	$216.72	$216.72	$216.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $86.72 / $166.57 / $647.52	Professional		$86.72	$166.57	$647.52
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $67.06 / $138.00 / $196.50	Professional	50	$67.06	$138.00	$196.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.64 / $138.13 / $246.34	Professional		$76.64	$138.13	$246.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $73.56 / $124.13 / $267.00	Facility		$73.56	$124.13	$267.00
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $168.74 / $380.38 / $915.18	Facility	50	$168.74	$380.38	$915.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $124.03 / $235.05	Professional		$72.81	$124.03	$235.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $166.69 / $273.41	Professional		$25.76	$166.69	$273.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $92.86 / $157.44 / $227.50	Facility		$92.86	$157.44	$227.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.81 / $107.81 / $110.59	Facility		$107.81	$107.81	$110.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.76 / $128.41 / $202.72	Professional		$84.76	$128.41	$202.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $234.74 / $361.80 / $692.47	Facility		$234.74	$361.80	$692.47
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $172.02 / $172.02 / $216.72	Facility	50	$172.02	$172.02	$216.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $120.24 / $187.31	Professional		$75.93	$120.24	$187.31
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.31 / $174.08 / $232.69	Professional		$102.31	$174.08	$232.69