Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.71 / $153.75 / $44,273.60	Facility		$91.71	$153.75	$44,273.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $92.25 / $120.14	Professional		$91.34	$92.25	$120.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $91.02 / $91.02	Professional		$91.02	$91.02	$91.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $85.01 / $128.66 / $446.95	Facility		$85.01	$128.66	$446.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $100.47 / $389.52	Professional		$91.34	$100.47	$389.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.17 / $88.22 / $213.93	Facility		$86.17	$88.22	$213.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $112.02	Professional		$91.34	$91.34	$112.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $82.07 / $114.18 / $220.56	Facility		$82.07	$114.18	$220.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.91 / $110.76 / $202.73	Professional		$79.91	$110.76	$202.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $98.32 / $120.67	Professional		$75.00	$98.32	$120.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.02 / $103.40 / $233.65	Facility		$91.02	$103.40	$233.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.51 / $130.07 / $238.03	Facility		$76.51	$130.07	$238.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.22 / $112.36 / $203.08	Professional		$93.22	$112.36	$203.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $85.78 / $102.94 / $190.99	Facility		$85.78	$102.94	$190.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $100.47 / $109.61	Professional		$91.34	$100.47	$109.61
United Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $109.61	Professional		$91.34	$91.34	$109.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.22 / $91.34 / $91.34	Professional		$88.22	$91.34	$91.34