Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.39 / $429.49 / $522.83	Facility		$318.39	$429.49	$522.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.36 / $270.10 / $389.52	Professional		$219.36	$270.10	$389.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.81 / $234.81 / $234.81	Professional		$234.81	$234.81	$234.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $344.58 / $1,120.20 / $1,120.20	Facility		$344.58	$1,120.20	$1,120.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $296.01 / $497.06 / $2,083.35	Professional		$296.01	$497.06	$2,083.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.06 / $443.49 / $749.53	Professional		$264.06	$443.49	$749.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $224.03 / $372.32 / $622.83	Facility		$224.03	$372.32	$622.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.62 / $351.26 / $610.89	Professional		$214.62	$351.26	$610.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $365.93 / $640.18	Professional		$65.73	$365.93	$640.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $325.60 / $491.11 / $505.18	Facility		$325.60	$491.11	$505.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.94 / $337.94 / $344.58	Facility		$337.94	$337.94	$344.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.58 / $539.83 / $678.47	Professional		$344.58	$539.83	$678.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $338.18 / $481.36 / $652.96	Professional		$338.18	$481.36	$652.96
United Facility/Professional Professional Modifier Low / Median / High Price $285.87 / $432.47 / $725.68	Professional		$285.87	$432.47	$725.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $207.88 / $245.38 / $265.73	Professional		$207.88	$245.38	$265.73