Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.36 / $300.38 / $713.06	Facility		$129.36	$300.38	$713.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.28 / $119.95 / $254.18	Professional		$104.28	$119.95	$254.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $78.20 / $78.20	Professional		$78.20	$78.20	$78.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $136.87 / $228.11 / $538.53	Facility		$136.87	$228.11	$538.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $117.34 / $271.26 / $1,071.80	Professional		$117.34	$271.26	$1,071.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.23 / $236.40 / $381.29	Facility		$90.23	$236.40	$381.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.34 / $146.13 / $191.59	Professional		$81.34	$146.13	$191.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $130.35 / $191.61 / $403.28	Facility		$130.35	$191.61	$403.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.35 / $230.15 / $403.28	Professional		$130.35	$230.15	$403.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $127.61 / $138.32	Professional		$75.00	$127.61	$138.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $130.35 / $130.35 / $373.10	Facility		$130.35	$130.35	$373.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.35 / $228.11 / $391.05	Facility		$130.35	$228.11	$391.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.32 / $117.32 / $117.32	Professional		$117.32	$117.32	$117.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $136.87 / $215.08 / $358.46	Facility		$136.87	$215.08	$358.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.16 / $253.90 / $303.41	Professional		$144.16	$253.90	$303.41
United Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $54.75 / $145.99	Professional		$54.75	$54.75	$145.99