Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.21 / $219.54 / $433.77	Facility		$107.21	$219.54	$433.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.59 / $107.21 / $291.92	Professional		$87.59	$107.21	$291.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.72 / $171.70 / $241.86	Professional		$64.72	$171.70	$241.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $119.73 / $551.00 / $583.00	Facility		$119.73	$551.00	$583.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $121.51 / $210.22 / $1,285.65	Professional		$121.51	$210.22	$1,285.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.62 / $167.62 / $276.75	Professional		$102.62	$167.62	$276.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $90.52 / $187.70 / $244.54	Facility		$90.52	$187.70	$244.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.52 / $188.02 / $244.54	Professional		$90.52	$188.02	$244.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.75 / $69.49 / $221.26	Professional		$12.75	$69.49	$221.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $129.85 / $171.33 / $184.71	Facility		$129.85	$171.33	$184.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.88 / $119.14 / $119.73	Facility		$51.88	$119.14	$119.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.61 / $201.64 / $245.57	Professional		$136.61	$201.64	$245.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $57.75 / $57.75 / $289.07	Facility		$57.75	$57.75	$289.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $121.51 / $175.46 / $235.33	Professional		$121.51	$175.46	$235.33
United Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $102.82 / $241.60	Professional		$93.47	$102.82	$241.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.24 / $96.24 / $96.24	Professional		$96.24	$96.24	$96.24