Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.33 / $352.72 / $429.73	Facility		$261.33	$352.72	$429.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.25 / $215.98 / $321.83	Professional		$180.25	$215.98	$321.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $206.73 / $206.73 / $206.73	Professional		$206.73	$206.73	$206.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $284.25 / $920.42 / $920.42	Facility		$284.25	$920.42	$920.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $249.63 / $420.68 / $1,716.30	Professional		$249.63	$420.68	$1,716.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.35 / $365.77 / $618.16	Professional		$216.35	$365.77	$618.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $184.29 / $306.27 / $512.77	Facility		$184.29	$306.27	$512.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.69 / $288.95 / $501.79	Professional		$176.69	$288.95	$501.79
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 $272.52 / $404.68 / $416.74	Facility		$272.52	$404.68	$416.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.24 / $277.24 / $284.25	Facility		$277.24	$277.24	$284.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $284.25 / $443.47 / $557.35	Professional		$284.25	$443.47	$557.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $277.20 / $396.79 / $536.47	Professional		$277.20	$396.79	$536.47
United Facility/Professional Professional Modifier Low / Median / High Price $253.68 / $356.36 / $596.90	Professional		$253.68	$356.36	$596.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $171.16 / $202.23 / $219.13	Professional		$171.16	$202.23	$219.13