Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.00 / $688.06 / $2,800.60	Facility		$138.00	$688.06	$2,800.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.15 / $126.97 / $490.89	Professional		$75.15	$126.97	$490.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $448.54 / $448.54 / $448.54	Professional		$448.54	$448.54	$448.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $507.25 / $561.47 / $1,265.57	Facility		$507.25	$561.47	$1,265.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $203.03 / $550.21 / $2,363.48	Professional		$203.03	$550.21	$2,363.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.35 / $664.94 / $1,159.79	Professional		$309.35	$664.94	$1,159.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $108.48 / $159.33 / $303.38	Facility		$108.48	$159.33	$303.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.80 / $172.89 / $372.19	Professional		$107.80	$172.89	$372.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $186.48	Professional		$45.00	$50.00	$186.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $358.60 / $510.78 / $546.04	Facility		$358.60	$510.78	$546.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.65 / $128.65 / $372.46	Facility		$128.65	$128.65	$372.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.51 / $543.14 / $739.29	Professional		$251.51	$543.14	$739.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $188.89 / $337.97 / $632.85	Professional		$188.89	$337.97	$632.85
United Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $149.15 / $757.62	Professional		$96.58	$149.15	$757.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $230.80 / $326.27 / $326.27	Professional		$230.80	$326.27	$326.27