Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.73 / $1,384.14 / $2,968.71	Facility		$171.73	$1,384.14	$2,968.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.57 / $215.86 / $399.62	Professional		$122.57	$215.86	$399.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.62 / $172.62 / $186.99	Professional		$172.62	$172.62	$186.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $625.29 / $1,843.31 / $3,528.06	Facility		$625.29	$1,843.31	$3,528.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $183.63 / $302.74 / $1,733.60	Professional		$183.63	$302.74	$1,733.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.32 / $292.70 / $464.49	Professional		$185.32	$292.70	$464.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $159.88 / $291.01 / $624.13	Facility		$159.88	$291.01	$624.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.88 / $276.02 / $484.68	Professional		$159.88	$276.02	$484.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.48 / $212.80 / $348.27	Professional		$34.48	$212.80	$348.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $209.04 / $300.76 / $385.25	Facility		$209.04	$300.76	$385.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.38 / $208.38 / $209.76	Facility		$208.38	$208.38	$209.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.75 / $266.39 / $383.92	Professional		$182.75	$266.39	$383.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,195.99 / $1,843.31 / $3,528.06	Facility		$1,195.99	$1,843.31	$3,528.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.19 / $240.01 / $355.27	Professional		$158.19	$240.01	$355.27
United Facility/Professional Facility Modifier Low / Median / High Price $648.00 / $1,875.00 / $4,911.00	Facility		$648.00	$1,875.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.44 / $333.50 / $446.48	Professional		$198.44	$333.50	$446.48