Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.17 / $101.27 / $117.55	Facility		$88.17	$101.27	$117.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.05 / $85.58 / $119.04	Professional		$67.05	$85.58	$119.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.61 / $83.72 / $154.88	Professional		$82.61	$83.72	$154.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $118.23 / $339.11 / $339.11	Facility		$118.23	$339.11	$339.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $82.15 / $123.31 / $611.70	Professional		$82.15	$123.31	$611.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $95.00 / $186.98	Professional		$75.00	$95.00	$186.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $70.80 / $94.40 / $181.97	Facility		$70.80	$94.40	$181.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.28 / $94.17 / $167.98	Professional		$70.28	$94.17	$167.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $144.88 / $258.88	Professional		$28.91	$144.88	$258.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $166.62 / $174.20	Facility		$104.52	$166.62	$174.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.23 / $118.23 / $118.23	Facility		$118.23	$118.23	$118.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.50 / $171.96 / $223.62	Professional		$116.50	$171.96	$223.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $94.32 / $112.79 / $153.33	Professional		$94.32	$112.79	$153.33
United Facility/Professional Professional Modifier Low / Median / High Price $86.75 / $127.40 / $249.59	Professional		$86.75	$127.40	$249.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $76.70 / $89.33	Professional		$70.68	$76.70	$89.33