Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.38 / $176.48 / $283.20	Facility		$131.38	$176.48	$283.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.19 / $110.83 / $231.19	Professional		$93.19	$110.83	$231.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.63 / $96.63 / $96.63	Professional		$96.63	$96.63	$96.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $2,256.91 / $2,256.91	Facility		$110.00	$2,256.91	$2,256.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $136.81 / $225.35 / $1,356.40	Professional		$136.81	$225.35	$1,356.40
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 $101.97 / $171.76 / $302.27	Professional		$101.97	$171.76	$302.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $96.99 / $168.93 / $258.66	Facility		$96.99	$168.93	$258.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.87 / $160.22 / $258.66	Professional		$93.87	$160.22	$258.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.02 / $160.40 / $284.81	Professional		$29.02	$160.40	$284.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.72 / $197.81 / $202.86	Facility		$147.72	$197.81	$202.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.06 / $225.67 / $283.06	Professional		$142.06	$225.67	$283.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $139.52 / $198.11 / $257.70	Professional		$139.52	$198.11	$257.70
United Facility/Professional Professional Modifier Low / Median / High Price $102.90 / $160.38 / $285.00	Professional		$102.90	$160.38	$285.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.92 / $106.34 / $106.34	Professional		$83.92	$106.34	$106.34