Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.79 / $92.70 / $109.06	Facility		$81.79	$92.70	$109.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.28 / $76.40 / $105.83	Professional		$59.28	$76.40	$105.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.24 / $94.24 / $94.24	Professional		$94.24	$94.24	$94.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $104.64 / $298.20 / $298.20	Facility		$104.64	$298.20	$298.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $111.10 / $535.28	Professional		$76.90	$111.10	$535.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $84.00 / $172.27	Professional		$63.00	$84.00	$172.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $87.04 / $169.39	Facility		$65.88	$87.04	$169.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $87.04 / $153.21	Professional		$64.95	$87.04	$153.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $146.46 / $261.02	Professional		$28.72	$146.46	$261.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $149.32 / $158.12	Facility		$94.80	$149.32	$158.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.64 / $104.64 / $104.64	Facility		$104.64	$104.64	$104.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.07 / $151.76 / $198.02	Professional		$102.07	$151.76	$198.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $98.75 / $138.06	Professional		$83.20	$98.75	$138.06
United Facility/Professional Professional Modifier Low / Median / High Price $80.14 / $118.31 / $225.08	Professional		$80.14	$118.31	$225.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.12 / $67.48 / $78.53	Professional		$62.12	$67.48	$78.53