Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.21 / $439.16 / $1,380.70	Facility		$247.21	$439.16	$1,380.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.94 / $190.11 / $271.56	Professional		$170.94	$190.11	$271.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.79 / $157.79 / $157.79	Professional		$157.79	$157.79	$157.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $276.14 / $431.57 / $1,086.52	Facility		$276.14	$431.57	$1,086.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $236.69 / $513.79 / $1,972.43	Professional		$236.69	$513.79	$1,972.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $264.85 / $559.03 / $761.87	Facility		$264.85	$559.03	$761.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $277.99 / $358.71	Professional		$135.00	$277.99	$358.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $260.08 / $328.74 / $752.33	Facility		$260.08	$328.74	$752.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $386.60 / $737.07	Professional		$262.99	$386.60	$737.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $262.99 / $262.99 / $552.28	Facility		$262.99	$262.99	$552.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.99 / $460.23 / $788.97	Facility		$262.99	$460.23	$788.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.69 / $328.74 / $397.11	Professional		$236.69	$328.74	$397.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $276.14 / $431.57 / $723.22	Facility		$276.14	$431.57	$723.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $290.87 / $511.82 / $611.46	Professional		$290.87	$511.82	$611.46
United Facility/Professional Professional Modifier Low / Median / High Price $110.46 / $121.99 / $294.55	Professional		$110.46	$121.99	$294.55