Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.53 / $174.82 / $210.88	Facility		$127.53	$174.82	$210.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $110.77 / $175.70	Professional		$88.19	$110.77	$175.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.27 / $206.00 / $206.00	Professional		$107.27	$206.00	$206.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $145.33 / $478.34 / $478.34	Facility		$145.33	$478.34	$478.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $122.09 / $214.23 / $880.28	Professional		$122.09	$214.23	$880.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.91 / $181.55 / $317.11	Professional		$106.91	$181.55	$317.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $90.42 / $149.76 / $249.98	Facility		$90.42	$149.76	$249.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.36 / $141.78 / $245.59	Professional		$87.36	$141.78	$245.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $157.21 / $274.75	Professional		$27.87	$157.21	$274.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $139.91 / $201.28 / $213.06	Facility		$139.91	$201.28	$213.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.54 / $134.54 / $145.33	Facility		$134.54	$134.54	$145.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.33 / $224.49 / $283.92	Professional		$145.33	$224.49	$283.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $135.83 / $196.64 / $271.06	Professional		$135.83	$196.64	$271.06
United Facility/Professional Professional Modifier Low / Median / High Price $123.48 / $181.69 / $295.31	Professional		$123.48	$181.69	$295.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $88.62 / $104.62 / $113.33	Professional		$88.62	$104.62	$113.33