Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.28 / $123.90 / $196.58	Facility		$91.28	$123.90	$196.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $79.97 / $196.58	Professional		$66.31	$79.97	$196.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.93 / $94.33 / $135.88	Professional		$65.93	$94.33	$135.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $958.63 / $958.63	Facility		$110.00	$958.63	$958.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $86.17 / $153.83 / $848.55	Professional		$86.17	$153.83	$848.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,863.00 / $1,863.00 / $1,863.00	Facility		$1,863.00	$1,863.00	$1,863.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $118.73 / $210.16	Professional		$70.84	$118.73	$210.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $67.91 / $135.50 / $668.91	Facility		$67.91	$135.50	$668.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.79 / $110.49 / $171.31	Professional		$64.79	$110.49	$171.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.49 / $107.78 / $189.93	Professional		$19.49	$107.78	$189.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $106.59 / $136.68 / $142.80	Facility		$106.59	$136.68	$142.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $158.11 / $196.83	Professional		$98.78	$158.11	$196.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,195.97 / $1,195.97 / $1,980.32	Facility		$1,195.97	$1,195.97	$1,980.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.48 / $138.05 / $179.19	Professional		$97.48	$138.05	$179.19
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $900.00	Facility		$900.00	$900.00	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.92 / $108.17 / $200.44	Professional		$70.92	$108.17	$200.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.98 / $73.45 / $73.45	Professional		$57.98	$73.45	$73.45