Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.12 / $235.67 / $563.45	Facility		$96.12	$235.67	$563.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $96.12 / $145.60	Professional		$51.13	$96.12	$145.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $61.36 / $61.36	Professional		$61.36	$61.36	$61.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $107.37 / $167.81 / $1,569.67	Facility		$107.37	$167.81	$1,569.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $209.13 / $766.95	Professional		$92.03	$209.13	$766.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.56 / $226.73 / $299.12	Facility		$149.56	$226.73	$299.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.01 / $114.55 / $144.87	Professional		$54.01	$114.55	$144.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $100.75 / $127.82 / $291.42	Facility		$100.75	$127.82	$291.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $150.32 / $282.73	Professional		$102.26	$150.32	$282.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $100.11 / $108.51	Professional		$75.00	$100.11	$108.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $102.26 / $102.26 / $214.75	Facility		$102.26	$102.26	$214.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.26 / $178.96 / $357.91	Facility		$102.26	$178.96	$357.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $127.83 / $154.41	Professional		$92.03	$127.83	$154.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $107.37 / $167.81 / $281.22	Facility		$107.37	$167.81	$281.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $113.10 / $198.67 / $237.62	Professional		$113.10	$198.67	$237.62
United Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $42.95 / $114.53	Professional		$42.95	$42.95	$114.53