Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $296.64 / $709.30	Facility		$128.72	$296.64	$709.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $132.94 / $270.60	Professional		$81.09	$132.94	$270.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $77.23 / $77.23	Professional		$77.23	$77.23	$77.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $135.16 / $225.28 / $531.84	Facility		$135.16	$225.28	$531.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $251.60 / $965.48	Professional		$115.86	$251.60	$965.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $263.56 / $410.47	Facility		$89.75	$263.56	$410.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.25 / $144.29 / $197.28	Professional		$80.25	$144.29	$197.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $189.23 / $398.20	Facility		$128.72	$189.23	$398.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.72 / $227.10 / $398.20	Professional		$128.72	$227.10	$398.20
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 $128.72 / $128.72 / $270.33	Facility		$128.72	$128.72	$270.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.72 / $225.28 / $386.19	Facility		$128.72	$225.28	$386.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $160.91 / $194.38	Professional		$115.86	$160.91	$194.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $135.16 / $212.40 / $354.01	Facility		$135.16	$212.40	$354.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $150.09 / $250.52 / $299.54	Professional		$150.09	$250.52	$299.54
United Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $73.65 / $144.18	Professional		$54.07	$73.65	$144.18