Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.61 / $148.55 / $233.63	Facility		$109.61	$148.55	$233.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.53 / $93.36 / $371.00	Professional		$77.53	$93.36	$371.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.97 / $71.97 / $81.30	Professional		$71.97	$71.97	$81.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $217.50 / $632.91 / $632.91	Facility		$217.50	$632.91	$632.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $101.99 / $174.76 / $746.29	Professional		$101.99	$174.76	$746.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.22 / $138.18 / $255.99	Professional		$83.22	$138.18	$255.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $79.16 / $150.30 / $371.52	Facility		$79.16	$150.30	$371.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $131.52 / $204.10	Professional		$75.02	$131.52	$204.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.02 / $160.40 / $285.29	Professional		$29.02	$160.40	$285.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $119.07 / $162.97 / $170.18	Facility		$119.07	$162.97	$170.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.38 / $190.32 / $238.07	Professional		$119.38	$190.32	$238.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $723.84 / $723.84 / $1,255.15	Facility		$723.84	$723.84	$1,255.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $115.96 / $165.22 / $212.79	Professional		$115.96	$165.22	$212.79
United Facility/Professional Professional Modifier Low / Median / High Price $84.39 / $124.44 / $241.14	Professional		$84.39	$124.44	$241.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $91.30 / $91.30	Professional		$70.95	$91.30	$91.30