Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.69 / $211.86 / $336.91	Facility		$155.69	$211.86	$336.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.22 / $130.57 / $274.91	Professional		$111.22	$130.57	$274.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.38 / $115.38 / $115.38	Professional		$115.38	$115.38	$115.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $1,564.67 / $1,564.67	Facility		$225.00	$1,564.67	$1,564.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $147.33 / $250.14 / $1,165.68	Professional		$147.33	$250.14	$1,165.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $200.44 / $361.79	Professional		$121.56	$200.44	$361.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $114.08 / $200.67 / $292.63	Facility		$114.08	$200.67	$292.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.67 / $187.96 / $292.63	Professional		$110.67	$187.96	$292.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $214.82 / $381.04	Professional		$38.38	$214.82	$381.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $175.88 / $234.50 / $242.54	Facility		$175.88	$234.50	$242.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.28 / $271.25 / $339.30	Professional		$170.28	$271.25	$339.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $167.71 / $237.98 / $308.72	Professional		$167.71	$237.98	$308.72
United Facility/Professional Professional Modifier Low / Median / High Price $122.76 / $185.50 / $339.85	Professional		$122.76	$185.50	$339.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.21 / $126.80 / $126.80	Professional		$100.21	$126.80	$126.80