Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.31 / $267.14 / $914.88	Facility		$138.31	$267.14	$914.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $138.31 / $535.00	Professional		$89.12	$138.31	$535.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $207.19 / $207.19 / $207.19	Professional		$207.19	$207.19	$207.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $187.54 / $288.91 / $570.73	Facility		$187.54	$288.91	$570.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $347.26 / $1,062.83	Professional		$190.55	$347.26	$1,062.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.23 / $297.08 / $374.65	Facility		$127.23	$297.08	$374.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $255.31 / $440.02	Professional		$146.66	$255.31	$440.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $124.22 / $272.98 / $385.26	Facility		$124.22	$272.98	$385.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $289.45 / $385.26	Professional		$143.22	$289.45	$385.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $143.84 / $310.91	Professional		$28.80	$143.84	$310.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $202.04 / $265.55 / $281.52	Facility		$202.04	$265.55	$281.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.69 / $186.00 / $187.54	Facility		$42.69	$186.00	$187.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.39 / $313.49 / $381.48	Professional		$212.39	$313.49	$381.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $164.79 / $251.08 / $489.71	Facility		$164.79	$251.08	$489.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $191.27 / $272.79 / $365.57	Professional		$191.27	$272.79	$365.57
United Facility/Professional Professional Modifier Low / Median / High Price $136.43 / $153.58 / $391.41	Professional		$136.43	$153.58	$391.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $143.83 / $143.83 / $143.83	Professional		$143.83	$143.83	$143.83