Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.45 / $121.52 / $232.60	Facility		$103.45	$121.52	$232.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $89.31 / $131.30	Professional		$71.52	$89.31	$131.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.42 / $124.39 / $178.80	Professional		$70.42	$124.39	$178.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $125.48 / $357.27 / $357.27	Facility		$125.48	$357.27	$357.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $133.72 / $652.79	Professional		$88.43	$133.72	$652.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.12 / $102.00 / $207.16	Professional		$74.12	$102.00	$207.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $74.76 / $100.17 / $196.10	Facility		$74.76	$100.17	$196.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $99.42 / $174.31	Professional		$74.20	$99.42	$174.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $144.36 / $258.88	Professional		$28.91	$144.36	$258.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $121.94 / $174.20 / $184.92	Facility		$121.94	$174.20	$184.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.48 / $125.48 / $125.48	Facility		$125.48	$125.48	$125.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.77 / $180.33 / $238.23	Professional		$121.77	$180.33	$238.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $697.74 / $697.74 / $1,070.49	Facility		$697.74	$697.74	$1,070.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.17 / $119.86 / $162.63	Professional		$97.17	$119.86	$162.63
United Facility/Professional Professional Modifier Low / Median / High Price $97.85 / $135.24 / $262.83	Professional		$97.85	$135.24	$262.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.64 / $81.65 / $96.65	Professional		$75.64	$81.65	$96.65