Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.42 / $93.63 / $906.86	Facility		$51.42	$93.63	$906.86
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $303.45 / $713.32 / $1,261.00	Facility	25	$303.45	$713.32	$1,261.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $53.75 / $95.70	Professional		$34.82	$53.75	$95.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $65.72 / $152.50	Professional		$40.29	$65.72	$152.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $189.21 / $189.21 / $189.21	Facility		$189.21	$189.21	$189.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $88.00 / $500.00	Professional		$56.79	$88.00	$500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $895.00 / $895.00 / $895.00	Facility		$895.00	$895.00	$895.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $81.93 / $126.38	Professional		$45.45	$81.93	$126.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $37.82 / $81.54 / $380.08	Facility		$37.82	$81.54	$380.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $66.70 / $98.54	Professional		$36.27	$66.70	$98.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.04 / $52.78 / $98.30	Professional		$10.04	$52.78	$98.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.66 / $78.78 / $84.32	Facility		$57.66	$78.78	$84.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.71 / $92.79 / $112.48	Professional		$63.71	$92.79	$112.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $78.34 / $104.31	Professional		$56.79	$78.34	$104.31
United Facility/Professional Professional Modifier Low / Median / High Price $46.02 / $71.34 / $121.55	Professional		$46.02	$71.34	$121.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.51 / $34.51 / $42.82	Professional		$34.51	$34.51	$42.82