Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.54 / $96.32 / $145.47	Professional		$73.54	$96.32	$145.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.78 / $169.98 / $172.64	Professional		$159.78	$169.98	$172.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $117.78 / $282.95 / $336.07	Facility		$117.78	$282.95	$336.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $76.25 / $174.94 / $609.98	Professional		$76.25	$174.94	$609.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.46 / $87.46 / $87.46	Facility		$87.46	$87.46	$87.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $132.91 / $244.34	Professional		$75.70	$132.91	$244.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $77.76 / $116.20 / $215.58	Facility		$77.76	$116.20	$215.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $117.11 / $211.84	Professional		$77.52	$117.11	$211.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $103.99 / $184.52	Professional		$18.00	$103.99	$184.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $107.10 / $165.71 / $175.44	Facility		$107.10	$165.71	$175.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.78 / $117.78 / $117.78	Facility		$117.78	$117.78	$117.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.91 / $175.32 / $228.52	Professional		$117.91	$175.32	$228.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $89.35 / $159.54	Professional		$75.55	$89.35	$159.54
United Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $135.68 / $251.99	Professional		$83.45	$135.68	$251.99