Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.88 / $270.39 / $327.12	Facility		$197.88	$270.39	$327.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.50 / $169.20 / $264.29	Professional		$138.50	$169.20	$264.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $206.48 / $206.48 / $206.48	Professional		$206.48	$206.48	$206.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $220.27 / $719.08 / $719.08	Facility		$220.27	$719.08	$719.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $188.65 / $322.01 / $1,333.50	Professional		$188.65	$322.01	$1,333.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.32 / $281.64 / $480.37	Professional		$165.32	$281.64	$480.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $140.16 / $232.32 / $386.49	Facility		$140.16	$232.32	$386.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $135.52 / $219.78 / $381.27	Professional		$135.52	$219.78	$381.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.45 / $262.68 / $459.35	Professional		$46.45	$262.68	$459.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $212.08 / $305.14 / $322.94	Facility		$212.08	$305.14	$322.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.83 / $208.83 / $220.27	Facility		$208.83	$208.83	$220.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.27 / $344.22 / $429.97	Professional		$220.27	$344.22	$429.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $211.13 / $303.50 / $410.48	Professional		$211.13	$303.50	$410.48
United Facility/Professional Professional Modifier Low / Median / High Price $172.90 / $268.44 / $449.91	Professional		$172.90	$268.44	$449.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $133.34 / $157.44 / $170.58	Professional		$133.34	$157.44	$170.58