Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.96 / $463.75 / $541.51	Professional		$197.96	$463.75	$541.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.55 / $108.57 / $121.49	Professional		$79.55	$108.57	$121.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,279.05 / $2,489.36 / $2,489.36	Facility		$1,279.05	$2,489.36	$2,489.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $194.68 / $353.58 / $1,779.80	Professional		$194.68	$353.58	$1,779.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.10 / $98.10 / $123.35	Professional		$98.10	$98.10	$123.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $651.61 / $651.61 / $651.61	Professional		$651.61	$651.61	$651.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.51 / $52.64 / $63.11	Facility		$37.51	$52.64	$63.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.71 / $190.71 / $194.68	Facility		$190.71	$190.71	$194.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.78 / $334.06 / $744.57	Professional		$216.78	$334.06	$744.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.50 / $277.10 / $435.72	Professional		$194.50	$277.10	$435.72
United Facility/Professional Professional Modifier Low / Median / High Price $194.88 / $333.95 / $875.95	Professional		$194.88	$333.95	$875.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $73.63 / $73.63	Professional		$73.63	$73.63	$73.63