Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $298.76 / $1,960.40	Facility		$68.20	$298.76	$1,960.40
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $465.58 / $1,106.07 / $2,597.35	Facility	25	$465.58	$1,106.07	$2,597.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $71.09 / $148.46	Professional		$53.68	$71.09	$148.46
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $70.06 / $148.44 / $311.22	Professional	25	$70.06	$148.44	$311.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.05 / $111.66 / $238.18	Professional		$68.05	$111.66	$238.18
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $61.28 / $108.88 / $202.00	Professional	25	$61.28	$108.88	$202.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $319.41 / $319.41 / $319.41	Facility		$319.41	$319.41	$319.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $96.64 / $146.01 / $500.00	Professional		$96.64	$146.01	$500.00
Asuris Northwest Health Facility/Professional Professional Modifier 25 Low / Median / High Price $134.74 / $134.74 / $134.74	Professional	25	$134.74	$134.74	$134.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.00 / $1,238.00 / $1,238.00	Facility		$1,238.00	$1,238.00	$1,238.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.30 / $132.34 / $214.75	Professional		$72.30	$132.34	$214.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $122.86 / $666.70	Facility		$56.42	$122.86	$666.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.04 / $100.10 / $156.65	Professional		$55.04	$100.10	$156.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $104.95 / $196.60	Professional		$19.97	$104.95	$196.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $89.25 / $123.28 / $141.37	Facility		$89.25	$123.28	$141.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.24 / $156.13 / $191.40	Professional		$106.24	$156.13	$191.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.64 / $129.66 / $177.38	Professional		$96.64	$129.66	$177.38
United Facility/Professional Professional Modifier Low / Median / High Price $71.75 / $106.71 / $202.35	Professional		$71.75	$106.71	$202.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.25 / $58.25 / $72.20	Professional		$58.25	$58.25	$72.20