Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.15 / $513.09 / $792.34	Facility		$136.15	$513.09	$792.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.58 / $112.27 / $140.49	Professional		$86.58	$112.27	$140.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $86.90 / $86.90	Professional		$86.90	$86.90	$86.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $152.08 / $237.68 / $506.94	Facility		$152.08	$237.68	$506.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $130.36 / $295.88 / $1,086.30	Professional		$130.36	$295.88	$1,086.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.34 / $296.57 / $423.68	Facility		$78.34	$296.57	$423.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.44 / $162.87 / $221.87	Professional		$90.44	$162.87	$221.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $213.04 / $495.93	Facility		$144.84	$213.04	$495.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.84 / $256.50 / $448.18	Professional		$144.84	$256.50	$448.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $141.80 / $153.70	Professional		$75.00	$141.80	$153.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.84 / $144.84 / $304.16	Facility		$144.84	$144.84	$304.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.36 / $253.47 / $434.52	Facility		$130.36	$253.47	$434.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.36 / $181.05 / $218.71	Professional		$130.36	$181.05	$218.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $152.08 / $238.99 / $398.31	Facility		$152.08	$238.99	$398.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $168.88 / $282.18 / $336.69	Professional		$168.88	$282.18	$336.69
United Facility/Professional Professional Modifier Low / Median / High Price $60.83 / $82.87 / $162.22	Professional		$60.83	$82.87	$162.22