Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.62 / $613.40 / $772.19	Facility		$455.62	$613.40	$772.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.74 / $369.23 / $732.30	Professional		$268.74	$369.23	$732.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $330.79 / $348.34 / $931.93	Professional		$330.79	$348.34	$931.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $309.89 / $1,604.63 / $1,604.63	Facility		$309.89	$1,604.63	$1,604.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $387.16 / $703.78 / $2,936.03	Professional		$387.16	$703.78	$2,936.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.49 / $507.82 / $1,053.09	Professional		$298.49	$507.82	$1,053.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $263.50 / $473.58 / $705.28	Facility		$263.50	$473.58	$705.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.50 / $460.57 / $705.59	Professional		$263.50	$460.57	$705.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $535.20 / $951.96	Professional		$96.43	$535.20	$951.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $411.11 / $577.50 / $703.50	Facility		$411.11	$577.50	$703.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.13 / $786.77 / $984.17	Professional		$483.13	$786.77	$984.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $482.33 / $678.60 / $864.03	Professional		$482.33	$678.60	$864.03
United Facility/Professional Professional Modifier Low / Median / High Price $279.42 / $443.84 / $875.80	Professional		$279.42	$443.84	$875.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $292.63 / $374.56 / $374.56	Professional		$292.63	$374.56	$374.56