Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.75 / $148.75 / $148.75	Professional		$148.75	$148.75	$148.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.77 / $75.77 / $75.77	Professional		$75.77	$75.77	$75.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $94.68 / $151.79 / $331.53	Facility		$94.68	$151.79	$331.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $152.94 / $621.67	Professional		$72.09	$152.94	$621.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.15 / $140.18 / $283.47	Professional		$112.15	$140.18	$283.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $62.64 / $93.53 / $171.78	Facility		$62.64	$93.53	$171.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.64 / $100.52 / $180.39	Professional		$64.64	$100.52	$180.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $118.80 / $143.49 / $144.72	Facility		$118.80	$143.49	$144.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.68 / $94.68 / $94.68	Facility		$94.68	$94.68	$94.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.17 / $168.95 / $195.93	Professional		$111.17	$168.95	$195.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.52 / $142.63	Professional		$70.79	$74.52	$142.63
United Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $105.66 / $197.65	Professional		$70.84	$105.66	$197.65