Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.12 / $465.44 / $887.02	Facility		$154.12	$465.44	$887.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.38 / $123.30 / $163.96	Professional		$98.38	$123.30	$163.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.38 / $98.38 / $98.38	Professional		$98.38	$98.38	$98.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $172.16 / $273.27 / $677.38	Facility		$172.16	$273.27	$677.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $304.92 / $1,229.70	Professional		$147.56	$304.92	$1,229.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.79 / $297.35 / $479.57	Facility		$66.79	$297.35	$479.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.27 / $184.36 / $251.49	Professional		$102.27	$184.36	$251.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $241.05 / $561.55	Facility		$163.96	$241.05	$561.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $289.80 / $507.50	Professional		$163.96	$289.80	$507.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $160.51 / $173.98	Professional		$75.00	$160.51	$173.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $163.96 / $344.32	Facility		$163.96	$163.96	$344.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.56 / $286.93 / $491.88	Facility		$147.56	$286.93	$491.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $204.95 / $247.58	Professional		$147.56	$204.95	$247.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $172.16 / $270.52 / $450.89	Facility		$172.16	$270.52	$450.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $191.17 / $319.22 / $381.58	Professional		$191.17	$319.22	$381.58
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $93.81 / $183.64	Professional		$68.86	$93.81	$183.64