Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.38 / $71.17 / $139.81	Facility		$53.38	$71.17	$139.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $64.84 / $88.71	Professional		$50.43	$64.84	$88.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.74 / $64.84 / $94.43	Professional		$41.74	$64.84	$94.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $60.72 / $302.75 / $302.75	Facility		$60.72	$302.75	$302.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $60.19 / $93.64 / $534.90	Professional		$60.19	$93.64	$534.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $75.00 / $176.25	Professional		$51.00	$75.00	$176.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $51.80 / $72.03 / $156.09	Facility		$51.80	$72.03	$156.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.52 / $69.81 / $145.68	Professional		$51.52	$69.81	$145.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.48 / $147.81 / $261.29	Professional		$28.48	$147.81	$261.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $85.36 / $119.90 / $146.06	Facility		$85.36	$119.90	$146.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.22 / $94.22 / $94.22	Facility		$94.22	$94.22	$94.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.11 / $139.08 / $181.84	Professional		$86.11	$139.08	$181.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $60.72 / $60.72 / $60.72	Facility		$60.72	$60.72	$60.72
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.55 / $82.78 / $105.73	Professional		$60.55	$82.78	$105.73
United Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $88.21 / $188.17	Professional		$8.00	$88.21	$188.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.12 / $68.81 / $78.69	Professional		$62.12	$68.81	$78.69