Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.83 / $354.39 / $451.60	Facility		$260.83	$354.39	$451.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.28 / $224.18 / $399.08	Professional		$182.28	$224.18	$399.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $206.97 / $344.10 / $367.76	Professional		$206.97	$344.10	$367.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $284.25 / $923.41 / $923.41	Facility		$284.25	$923.41	$923.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $243.37 / $408.44 / $1,720.43	Professional		$243.37	$408.44	$1,720.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.11 / $366.25 / $618.98	Professional		$217.11	$366.25	$618.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $183.67 / $305.24 / $508.50	Facility		$183.67	$305.24	$508.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.07 / $287.98 / $500.82	Professional		$177.07	$287.98	$500.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.03 / $314.43 / $548.26	Professional		$56.03	$314.43	$548.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $272.51 / $401.33 / $416.74	Facility		$272.51	$401.33	$416.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.69 / $277.69 / $284.25	Facility		$277.69	$277.69	$284.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.25 / $444.90 / $559.16	Professional		$284.25	$444.90	$559.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $278.58 / $397.44 / $532.94	Professional		$278.58	$397.44	$532.94
United Facility/Professional Professional Modifier Low / Median / High Price $237.46 / $353.41 / $593.02	Professional		$237.46	$353.41	$593.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $171.16 / $202.15 / $219.01	Professional		$171.16	$202.15	$219.01