Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.07 / $288.00 / $643.26	Facility		$134.07	$288.00	$643.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $99.84 / $164.87	Professional		$75.59	$99.84	$164.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $285.26 / $285.26 / $285.26	Professional		$285.26	$285.26	$285.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $149.76 / $223.93 / $677.49	Facility		$149.76	$223.93	$677.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $291.72 / $1,069.73	Professional		$128.37	$291.72	$1,069.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.72 / $303.19 / $417.20	Facility		$145.72	$303.19	$417.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $157.52 / $196.52	Professional		$80.06	$157.52	$196.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $200.25 / $440.55	Facility		$142.63	$200.25	$440.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $226.80 / $440.55	Professional		$142.63	$226.80	$440.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $139.63 / $151.36	Professional		$75.00	$139.63	$151.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $142.63 / $299.52	Facility		$142.63	$142.63	$299.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.37 / $142.63 / $324.72	Facility		$128.37	$142.63	$324.72
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 / $234.06 / $392.23	Facility		$149.76	$234.06	$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 / $73.31 / $159.75	Professional		$59.90	$73.31	$159.75