Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.36 / $441.00 / $548.32	Facility		$231.36	$441.00	$548.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.84 / $231.36 / $548.32	Professional		$166.84	$231.36	$548.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.93 / $272.93 / $272.93	Professional		$272.93	$272.93	$272.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $311.75 / $677.98 / $1,729.07	Facility		$311.75	$677.98	$1,729.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $250.26 / $309.74 / $2,202.30	Professional		$250.26	$309.74	$2,202.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.59 / $209.59 / $209.59	Facility		$209.59	$209.59	$209.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $209.59	Professional		$153.00	$153.00	$209.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $209.75 / $357.77 / $955.31	Facility		$209.75	$357.77	$955.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.98 / $363.14 / $708.34	Professional		$209.98	$363.14	$708.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.63 / $272.93 / $300.22	Professional		$245.63	$272.93	$300.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $282.60 / $333.68 / $356.02	Facility		$282.60	$333.68	$356.02
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $302.62 / $356.02 / $356.02	Professional		$302.62	$356.02	$356.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $311.75 / $399.83 / $695.36	Facility		$311.75	$399.83	$695.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $338.87 / $347.68 / $347.68	Facility		$338.87	$347.68	$347.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $282.83 / $302.62 / $391.62	Professional		$282.83	$302.62	$391.62
United Facility/Professional Facility Modifier Low / Median / High Price $128.27 / $219.98 / $256.52	Facility		$128.27	$219.98	$256.52
United Facility/Professional Professional Modifier Low / Median / High Price $166.47 / $249.71 / $317.61	Professional		$166.47	$249.71	$317.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $156.12 / $156.12 / $202.82	Professional		$156.12	$156.12	$202.82