Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.76 / $117.01 / $306.54	Facility		$87.76	$117.01	$306.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $95.06 / $164.94	Professional		$72.70	$95.06	$164.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $91.53 / $157.97	Professional		$71.09	$91.53	$157.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $43.68 / $425.37 / $543.76	Facility		$43.68	$425.37	$543.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $85.41 / $131.44 / $736.95	Professional		$85.41	$131.44	$736.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $60.00	Facility		$50.00	$50.00	$60.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $107.00 / $222.45	Professional		$69.00	$107.00	$222.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $92.29 / $178.35	Facility		$67.27	$92.29	$178.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.80 / $92.29 / $159.12	Professional		$68.80	$92.29	$159.12
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 $115.31 / $170.50 / $207.70	Facility		$115.31	$170.50	$207.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.54 / $134.54 / $134.54	Facility		$134.54	$134.54	$134.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.45 / $197.78 / $258.17	Professional		$122.45	$197.78	$258.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.68 / $81.18 / $543.76	Facility		$43.68	$81.18	$543.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.64 / $117.97 / $151.01	Professional		$87.64	$117.97	$151.01
United Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $130.99 / $258.49	Professional		$78.73	$130.99	$258.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.90 / $96.27 / $112.45	Professional		$88.90	$96.27	$112.45