Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.07 / $278.12 / $771.63	Facility		$134.07	$278.12	$771.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.16 / $103.11 / $134.07	Professional		$74.16	$103.11	$134.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $121.24 / $121.24	Professional		$85.58	$121.24	$121.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $149.76 / $228.21 / $589.26	Facility		$149.76	$228.21	$589.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $278.74 / $1,069.73	Professional		$128.37	$278.74	$1,069.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.34 / $303.19 / $368.29	Facility		$148.34	$303.19	$368.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.41 / $155.16 / $208.63	Professional		$70.41	$155.16	$208.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $176.22 / $440.55	Facility		$142.63	$176.22	$440.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $242.47 / $440.55	Professional		$142.63	$242.47	$440.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $142.63 / $213.95	Facility		$142.63	$142.63	$213.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $249.60 / $442.15	Facility		$142.63	$249.60	$442.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $178.29 / $215.37	Professional		$128.37	$178.29	$215.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $149.76 / $228.21 / $392.23	Facility		$149.76	$228.21	$392.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $157.75 / $277.47 / $331.27	Professional		$157.75	$277.47	$331.27
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $59.90 / $159.75	Professional		$59.90	$59.90	$159.75