Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $126.95 / $195.71	Facility		$94.50	$126.95	$195.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.13 / $80.28 / $112.05	Professional		$63.13	$80.28	$112.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $44.50 / $58.97	Professional		$44.50	$44.50	$58.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $114.61 / $323.95 / $323.95	Facility		$114.61	$323.95	$323.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $78.76 / $126.50 / $596.63	Professional		$78.76	$126.50	$596.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $98.45 / $212.78	Professional		$45.00	$98.45	$212.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.91 / $107.91 / $131.80	Professional		$107.91	$107.91	$131.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.21 / $66.21 / $98.82	Professional		$66.21	$66.21	$98.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $115.20 / $163.94 / $171.52	Facility		$115.20	$163.94	$171.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.61 / $114.61 / $114.61	Facility		$114.61	$114.61	$114.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $163.59 / $215.11	Professional		$101.12	$163.59	$215.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.92 / $116.89 / $168.62	Professional		$95.92	$116.89	$168.62
United Facility/Professional Professional Modifier Low / Median / High Price $94.73 / $151.60 / $240.34	Professional		$94.73	$151.60	$240.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $75.03 / $92.00	Professional		$69.80	$75.03	$92.00