Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.98 / $295.20 / $570.60	Facility		$79.98	$295.20	$570.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $76.58 / $98.42	Professional		$72.34	$76.58	$98.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.06 / $51.06 / $51.06	Professional		$51.06	$51.06	$51.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $89.36 / $148.91 / $405.72	Facility		$89.36	$148.91	$405.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $177.15 / $699.71	Professional		$76.59	$177.15	$699.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.92 / $163.54 / $248.94	Facility		$58.92	$163.54	$248.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.14 / $95.46 / $122.45	Professional		$53.14	$95.46	$122.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $85.10 / $125.10 / $262.62	Facility		$85.10	$125.10	$262.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.10 / $150.21 / $262.62	Professional		$85.10	$150.21	$262.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $83.31 / $90.31	Professional		$75.00	$83.31	$90.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $85.10 / $85.10 / $178.71	Facility		$85.10	$85.10	$178.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.10 / $148.91 / $255.30	Facility		$85.10	$148.91	$255.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $76.59 / $76.59	Professional		$76.59	$76.59	$76.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $89.36 / $140.41 / $234.03	Facility		$89.36	$140.41	$234.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $99.22 / $165.67 / $198.14	Professional		$99.22	$165.67	$198.14
United Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $48.69 / $95.31	Professional		$35.74	$48.69	$95.31