Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.40 / $166.18 / $334.08	Facility		$88.40	$166.18	$334.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.70 / $97.50 / $148.68	Professional		$74.70	$97.50	$148.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $81.95 / $156.88	Professional		$68.09	$81.95	$156.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $98.01 / $460.18 / $460.18	Facility		$98.01	$460.18	$460.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $90.87 / $134.90 / $795.30	Professional		$90.87	$134.90	$795.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.63 / $112.13 / $230.53	Professional		$70.63	$112.13	$230.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $72.90 / $100.98 / $191.08	Facility		$72.90	$100.98	$191.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.72 / $101.15 / $177.05	Professional		$75.72	$101.15	$177.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $131.92 / $252.39	Professional		$31.27	$131.92	$252.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $121.52 / $187.99 / $196.31	Facility		$121.52	$187.99	$196.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.65 / $128.65 / $128.65	Facility		$128.65	$128.65	$128.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.18 / $200.93 / $256.82	Professional		$121.18	$200.93	$256.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $98.01 / $98.01 / $543.76	Facility		$98.01	$98.01	$543.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.15 / $144.36	Professional		$91.20	$114.15	$144.36
United Facility/Professional Professional Modifier Low / Median / High Price $88.21 / $132.00 / $270.30	Professional		$88.21	$132.00	$270.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.20 / $99.34 / $104.59	Professional		$84.20	$99.34	$104.59