Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.59 / $229.26 / $278.75	Facility		$169.59	$229.26	$278.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.76 / $143.21 / $210.47	Professional		$117.76	$143.21	$210.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.85 / $239.15 / $258.74	Professional		$172.85	$239.15	$258.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $184.63 / $601.01 / $601.01	Facility		$184.63	$601.01	$601.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $156.93 / $264.86 / $1,118.33	Professional		$156.93	$264.86	$1,118.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.91 / $237.32 / $402.16	Professional		$140.91	$237.32	$402.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.58 / $197.08 / $328.48	Facility		$118.58	$197.08	$328.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.51 / $185.93 / $323.36	Professional		$114.51	$185.93	$323.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $209.52 / $364.52	Professional		$37.50	$209.52	$364.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $259.29 / $270.68	Facility		$177.56	$259.29	$270.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.29 / $180.29 / $184.63	Facility		$180.29	$180.29	$184.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.63 / $288.62 / $361.55	Professional		$184.63	$288.62	$361.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.10 / $258.22 / $347.96	Professional		$181.10	$258.22	$347.96
United Facility/Professional Professional Modifier Low / Median / High Price $150.93 / $232.01 / $383.30	Professional		$150.93	$232.01	$383.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.53 / $131.63 / $142.62	Professional		$111.53	$131.63	$142.62