Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.23 / $507.39 / $1,756.35	Facility		$186.23	$507.39	$1,756.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.27 / $218.96 / $520.44	Professional		$162.27	$218.96	$520.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.61 / $303.64 / $413.56	Professional		$155.61	$303.64	$413.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $252.32 / $879.51 / $879.51	Facility		$252.32	$879.51	$879.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $257.33 / $432.95 / $1,821.00	Professional		$257.33	$432.95	$1,821.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.37 / $374.99 / $602.21	Professional		$236.37	$374.99	$602.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $174.53 / $351.97 / $504.84	Facility		$174.53	$351.97	$504.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.35 / $406.37 / $504.84	Professional		$178.35	$406.37	$504.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.48 / $261.79 / $435.48	Professional		$44.48	$261.79	$435.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $260.19 / $353.60 / $381.90	Facility		$260.19	$353.60	$381.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.32 / $252.32 / $260.49	Facility		$252.32	$252.32	$260.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.30 / $434.51 / $518.19	Professional		$292.30	$434.51	$518.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $257.33 / $257.33 / $257.33	Facility		$257.33	$257.33	$257.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $257.33 / $390.45 / $511.97	Professional		$257.33	$390.45	$511.97
United Facility/Professional Professional Modifier Low / Median / High Price $220.31 / $245.41 / $492.87	Professional		$220.31	$245.41	$492.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $206.78 / $206.78 / $206.78	Professional		$206.78	$206.78	$206.78