Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.78 / $320.58 / $741.17	Facility		$128.78	$320.58	$741.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $112.60 / $334.77	Professional		$36.44	$112.60	$334.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.78 / $75.78 / $75.78	Professional		$75.78	$75.78	$75.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $143.85 / $219.20 / $566.00	Facility		$143.85	$219.20	$566.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $123.30 / $267.49 / $1,027.50	Professional		$123.30	$267.49	$1,027.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.33 / $220.84 / $353.75	Facility		$74.33	$220.84	$353.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.42 / $144.71 / $193.84	Professional		$65.42	$144.71	$193.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $171.25 / $468.75	Facility		$137.00	$171.25	$468.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $201.39 / $423.62	Professional		$137.00	$201.39	$423.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $134.12 / $145.37	Professional		$75.00	$134.12	$145.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $137.00 / $205.50	Facility		$137.00	$137.00	$205.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.00 / $239.75 / $411.00	Facility		$137.00	$239.75	$411.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.30 / $171.25 / $206.87	Professional		$123.30	$171.25	$206.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $143.85 / $219.20 / $376.75	Facility		$143.85	$219.20	$376.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $151.52 / $266.68 / $318.89	Professional		$151.52	$266.68	$318.89
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $153.44	Professional		$57.54	$57.54	$153.44