Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.14 / $452.81 / $1,539.33	Facility		$164.14	$452.81	$1,539.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.03 / $194.14 / $514.79	Professional		$142.03	$194.14	$514.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $176.37 / $360.86	Professional		$136.66	$176.37	$360.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $222.88 / $772.06 / $772.06	Facility		$222.88	$772.06	$772.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $227.30 / $381.97 / $2,519.00	Professional		$227.30	$381.97	$2,519.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.83 / $333.23 / $532.41	Professional		$209.83	$333.23	$532.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $155.31 / $311.13 / $449.24	Facility		$155.31	$311.13	$449.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.07 / $353.60 / $449.24	Professional		$157.07	$353.60	$449.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.48 / $261.79 / $435.48	Professional		$44.48	$261.79	$435.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.32 / $315.57 / $335.67	Facility		$229.32	$315.57	$335.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.88 / $222.88 / $228.96	Facility		$222.88	$222.88	$228.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.88 / $381.97 / $457.17	Professional		$257.88	$381.97	$457.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $227.30 / $227.30 / $227.30	Facility		$227.30	$227.30	$227.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $227.30 / $343.19 / $450.00	Professional		$227.30	$343.19	$450.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.52 / $217.89 / $434.82	Professional		$189.52	$217.89	$434.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.43 / $180.43 / $180.43	Professional		$180.43	$180.43	$180.43