Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $377.97 / $510.33 / $648.79	Facility		$377.97	$510.33	$648.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.21 / $303.83 / $648.79	Professional		$222.21	$303.83	$648.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.41 / $520.45 / $576.52	Professional		$267.41	$520.45	$576.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $200.25 / $1,332.16 / $1,332.16	Facility		$200.25	$1,332.16	$1,332.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $324.27 / $597.32 / $2,440.80	Professional		$324.27	$597.32	$2,440.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.17 / $422.33 / $876.25	Professional		$249.17	$422.33	$876.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $221.96 / $400.14 / $593.45	Facility		$221.96	$400.14	$593.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.96 / $387.55 / $594.67	Professional		$221.96	$387.55	$594.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.73 / $481.21 / $854.33	Professional		$86.73	$481.21	$854.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $366.80 / $479.60 / $584.24	Facility		$366.80	$479.60	$584.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.91 / $653.39 / $817.33	Professional		$401.91	$653.39	$817.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $400.09 / $562.90 / $718.78	Professional		$400.09	$562.90	$718.78
United Facility/Professional Professional Modifier Low / Median / High Price $233.04 / $365.38 / $671.23	Professional		$233.04	$365.38	$671.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $242.94 / $311.63 / $311.63	Professional		$242.94	$311.63	$311.63