Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.51 / $137.06 / $251.83	Professional		$90.51	$137.06	$251.83
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $127.51 / $243.71 / $512.00	Professional	25	$127.51	$243.71	$512.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.72 / $197.69 / $270.91	Professional		$161.72	$197.69	$270.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $198.87 / $198.87 / $951.08	Facility		$198.87	$198.87	$951.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $234.51 / $1,258.50	Professional		$100.00	$234.51	$1,258.50
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $150.51 / $150.51 / $150.51	Professional	50	$150.51	$150.51	$150.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.45 / $182.33 / $382.18	Professional		$91.45	$182.33	$382.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $119.68 / $182.86 / $355.72	Facility		$119.68	$182.86	$355.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $188.41 / $354.99	Professional		$120.54	$188.41	$354.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $264.02 / $460.67	Professional		$45.17	$264.02	$460.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $265.82 / $298.82	Facility		$125.00	$265.82	$298.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.87 / $198.87 / $198.87	Facility		$198.87	$198.87	$198.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.65 / $241.02 / $384.15	Professional		$145.65	$241.02	$384.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.41 / $151.97 / $203.57	Professional		$100.41	$151.97	$203.57
United Facility/Professional Professional Modifier Low / Median / High Price $129.76 / $198.81 / $373.54	Professional		$129.76	$198.81	$373.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $75.00 / $130.00	Professional		$48.00	$75.00	$130.00