Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.59 / $370.47 / $2,820.25	Facility		$237.59	$370.47	$2,820.25
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $2,815.20 / $4,701.37 / $9,637.20	Facility	25	$2,815.20	$4,701.37	$9,637.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.83 / $258.56 / $670.00	Professional		$189.83	$258.56	$670.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $189.83 / $326.16 / $985.95	Professional	25	$189.83	$326.16	$985.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $205.78 / $380.69 / $659.75	Professional		$205.78	$380.69	$659.75
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $205.78 / $363.00 / $720.23	Professional	25	$205.78	$363.00	$720.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $962.77 / $962.77	Facility		$45.00	$962.77	$962.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $308.14 / $523.73 / $1,733.52	Professional		$308.14	$523.73	$1,733.52
Asuris Northwest Health Facility/Professional Professional Modifier 25 Low / Median / High Price $399.14 / $399.14 / $514.27	Professional	25	$399.14	$399.14	$514.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,657.00 / $10,657.00 / $11,161.00	Facility		$10,657.00	$10,657.00	$11,161.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.51 / $430.89 / $741.81	Professional		$241.51	$430.89	$741.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $231.68 / $444.21 / $760.74	Facility		$231.68	$444.21	$760.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $224.36 / $421.61 / $627.45	Professional		$224.36	$421.61	$627.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.57 / $420.06 / $772.24	Professional		$77.57	$420.06	$772.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $375.49 / $514.02 / $548.05	Facility		$375.49	$514.02	$548.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.38 / $499.50 / $706.22	Professional		$342.38	$499.50	$706.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,514.71 / $2,514.71 / $2,514.71	Facility		$2,514.71	$2,514.71	$2,514.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $313.92 / $452.43 / $627.41	Professional		$313.92	$452.43	$627.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,395.28 / $2,921.06 / $3,995.01	Facility		$2,395.28	$2,921.06	$3,995.01
United Facility/Professional Professional Modifier Low / Median / High Price $284.75 / $433.95 / $779.74	Professional		$284.75	$433.95	$779.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $226.65 / $293.00	Professional		$220.00	$226.65	$293.00