Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.38 / $95.37 / $166.26	Facility		$53.38	$95.37	$166.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $69.31 / $108.70	Professional		$52.85	$69.31	$108.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.02 / $78.93 / $125.47	Professional		$52.02	$78.93	$125.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $29.44 / $322.45 / $322.45	Facility		$29.44	$322.45	$322.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $99.32 / $558.00	Professional		$64.16	$99.32	$558.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $50.00	Facility		$35.00	$35.00	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.39 / $76.31 / $169.95	Professional		$48.39	$76.31	$169.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $47.68 / $69.03 / $136.16	Facility		$47.68	$69.03	$136.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.52 / $69.03 / $118.08	Professional		$51.52	$69.03	$118.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $144.36 / $260.78	Professional		$28.91	$144.36	$260.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $86.73 / $129.25 / $157.44	Facility		$86.73	$129.25	$157.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.93 / $101.93 / $101.93	Facility		$101.93	$101.93	$101.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.83 / $149.51 / $195.16	Professional		$92.83	$149.51	$195.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.44 / $60.72 / $543.76	Facility		$29.44	$60.72	$543.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $89.18 / $114.15	Professional		$66.30	$89.18	$114.15
United Facility/Professional Professional Modifier Low / Median / High Price $58.50 / $96.53 / $197.90	Professional		$58.50	$96.53	$197.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.36 / $72.93 / $85.17	Professional		$67.36	$72.93	$85.17