Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.87 / $181.83 / $243.04	Facility		$119.87	$181.83	$243.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.75 / $114.15 / $158.41	Professional		$84.75	$114.15	$158.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.31 / $105.33 / $131.65	Professional		$93.31	$105.33	$131.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $154.93 / $511.66 / $511.66	Facility		$154.93	$511.66	$511.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $104.13 / $167.12 / $884.70	Professional		$104.13	$167.12	$884.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.53 / $147.25 / $317.31	Professional		$89.53	$147.25	$317.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $92.88 / $124.41 / $243.77	Facility		$92.88	$124.41	$243.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.88 / $123.95 / $219.77	Professional		$89.88	$123.95	$219.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.26 / $193.27 / $344.53	Professional		$38.26	$193.27	$344.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.44 / $206.36 / $242.54	Facility		$144.44	$206.36	$242.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.93 / $154.93 / $154.93	Facility		$154.93	$154.93	$154.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.99 / $234.09 / $302.88	Professional		$142.99	$234.09	$302.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $104.13 / $141.83 / $229.28	Professional		$104.13	$141.83	$229.28
United Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $168.00 / $322.56	Professional		$107.71	$168.00	$322.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.91 / $116.15 / $132.72	Professional		$104.91	$116.15	$132.72