Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.50 / $351.75 / $500.70	Facility		$260.50	$351.75	$500.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.25 / $208.82 / $593.00	Professional		$158.25	$208.82	$593.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.17 / $318.18 / $529.33	Professional		$185.17	$318.18	$529.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $376.54 / $920.42 / $920.42	Facility		$376.54	$920.42	$920.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $219.45 / $413.51 / $1,689.30	Professional		$219.45	$413.51	$1,689.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.11 / $315.08 / $609.35	Professional		$184.11	$315.08	$609.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $172.36 / $305.80 / $453.28	Facility		$172.36	$305.80	$453.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.71 / $287.04 / $458.74	Professional		$167.71	$287.04	$458.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $320.81 / $569.55	Professional		$58.04	$320.81	$569.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $254.80 / $350.41 / $403.34	Facility		$254.80	$350.41	$403.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.60 / $451.08 / $564.25	Professional		$276.60	$451.08	$564.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $274.89 / $390.32 / $492.91	Professional		$274.89	$390.32	$492.91
United Facility/Professional Professional Modifier Low / Median / High Price $181.11 / $273.00 / $516.86	Professional		$181.11	$273.00	$516.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $167.85 / $217.00 / $217.00	Professional		$167.85	$217.00	$217.00