Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.75 / $1,795.36 / $4,479.89	Facility		$369.75	$1,795.36	$4,479.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.51 / $200.04 / $369.75	Professional		$118.51	$200.04	$369.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.76 / $166.76 / $166.76	Professional		$166.76	$166.76	$166.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $946.29 / $1,427.71 / $2,965.26	Facility		$946.29	$1,427.71	$2,965.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $261.85 / $483.65 / $1,884.60	Professional		$261.85	$483.65	$1,884.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.43 / $495.14 / $709.68	Professional		$284.43	$495.14	$709.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $249.38 / $451.84 / $768.48	Facility		$249.38	$451.84	$768.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $249.38 / $391.00 / $702.87	Professional		$249.38	$391.00	$702.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $402.39	Professional		$45.00	$50.00	$402.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $224.28 / $283.17 / $298.07	Facility		$224.28	$283.17	$298.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $299.33 / $299.33 / $342.02	Facility		$299.33	$299.33	$342.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.11 / $467.19 / $629.49	Professional		$308.11	$467.19	$629.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,121.85 / $1,518.92 / $2,905.51	Facility		$1,121.85	$1,518.92	$2,905.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $292.45 / $427.72 / $612.09	Professional		$292.45	$427.72	$612.09
United Facility/Professional Professional Modifier Low / Median / High Price $197.00 / $444.58 / $733.78	Professional		$197.00	$444.58	$733.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $298.07 / $344.51 / $546.97	Professional		$298.07	$344.51	$546.97