Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.46 / $544.41 / $661.48	Facility		$406.46	$544.41	$661.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.83 / $336.12 / $483.42	Professional		$284.83	$336.12	$483.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $319.25 / $319.25 / $319.25	Professional		$319.25	$319.25	$319.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $433.24 / $1,421.46 / $1,421.46	Facility		$433.24	$1,421.46	$1,421.46
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $374.86 / $627.84 / $2,613.90	Professional		$374.86	$627.84	$2,613.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.01 / $560.51 / $943.67	Professional		$335.01	$560.51	$943.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $285.99 / $475.28 / $793.18	Facility		$285.99	$475.28	$793.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.56 / $448.40 / $772.40	Professional		$273.56	$448.40	$772.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.67 / $471.09 / $824.01	Professional		$83.67	$471.09	$824.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $417.12 / $625.49 / $635.16	Facility		$417.12	$625.49	$635.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $428.99 / $428.99 / $433.24	Facility		$428.99	$428.99	$433.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.24 / $676.84 / $857.88	Professional		$433.24	$676.84	$857.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $429.66 / $607.00 / $818.36	Professional		$429.66	$607.00	$818.36
United Facility/Professional Professional Modifier Low / Median / High Price $393.12 / $542.88 / $925.01	Professional		$393.12	$542.88	$925.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.64 / $311.18 / $336.82	Professional		$263.64	$311.18	$336.82