Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.09 / $90.64 / $263.88	Facility		$67.09	$90.64	$263.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $56.62 / $99.66	Professional		$46.80	$56.62	$99.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.30 / $98.30 / $98.30	Professional		$98.30	$98.30	$98.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $194.60 / $274.16 / $524.74	Facility		$194.60	$274.16	$524.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $61.55 / $102.69 / $433.13	Professional		$61.55	$102.69	$433.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.90 / $92.67 / $154.51	Professional		$55.90	$92.67	$154.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $47.56 / $79.04 / $134.04	Facility		$47.56	$79.04	$134.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.15 / $74.56 / $127.43	Professional		$45.15	$74.56	$127.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $52.11 / $92.91	Professional		$9.64	$52.11	$92.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $66.36 / $98.83 / $104.52	Facility		$66.36	$98.83	$104.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.12 / $71.12 / $71.29	Facility		$71.12	$71.12	$71.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $111.86 / $141.51	Professional		$71.76	$111.86	$141.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $209.54 / $279.55 / $524.74	Facility		$209.54	$279.55	$524.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.15 / $100.10 / $135.47	Professional		$71.15	$100.10	$135.47
United Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $100.04 / $154.69	Professional		$64.69	$100.04	$154.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $49.15 / $53.09	Professional		$41.68	$49.15	$53.09