Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.50 / $115.77 / $291.75	Facility		$72.50	$115.77	$291.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $74.81 / $304.00	Professional		$62.14	$74.81	$304.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.95 / $55.70 / $118.20	Professional		$44.95	$55.70	$118.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $82.45 / $187.93 / $514.16	Facility		$82.45	$187.93	$514.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $84.08 / $153.59 / $506.70	Professional		$84.08	$153.59	$506.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $116.73 / $189.27	Professional		$73.12	$116.73	$189.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $62.31 / $130.05 / $178.88	Facility		$62.31	$130.05	$178.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.89 / $130.27 / $178.88	Professional		$62.89	$130.27	$178.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $65.14 / $147.70	Professional		$12.62	$65.14	$147.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $90.16 / $118.34 / $130.46	Facility		$90.16	$118.34	$130.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.53 / $82.26 / $82.45	Facility		$31.53	$82.26	$82.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.34 / $139.32 / $168.71	Professional		$94.34	$139.32	$168.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.57 / $29.57 / $187.93	Facility		$29.57	$29.57	$187.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.08 / $121.16 / $161.68	Professional		$84.08	$121.16	$161.68
United Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $71.90 / $169.85	Professional		$64.23	$71.90	$169.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.53 / $65.53 / $65.53	Professional		$65.53	$65.53	$65.53