Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.96 / $113.87 / $133.96	Facility		$97.96	$113.87	$133.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.27 / $93.59 / $138.77	Professional		$69.27	$93.59	$138.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.66 / $94.82 / $189.35	Professional		$88.66	$94.82	$189.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $134.54 / $340.61 / $340.61	Facility		$134.54	$340.61	$340.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $85.95 / $137.36 / $633.97	Professional		$85.95	$137.36	$633.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $105.00 / $205.27	Professional		$81.00	$105.00	$205.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $72.90 / $101.64 / $186.33	Facility		$72.90	$101.64	$186.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $99.05 / $176.66	Professional		$72.90	$99.05	$176.66
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 $114.17 / $190.28 / $195.64	Facility		$114.17	$190.28	$195.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.54 / $134.54 / $134.54	Facility		$134.54	$134.54	$134.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.50 / $178.90 / $252.64	Professional		$116.50	$178.90	$252.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $93.51 / $119.37 / $165.61	Professional		$93.51	$119.37	$165.61
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $141.99 / $277.39	Professional		$103.90	$141.99	$277.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.29 / $79.78 / $102.35	Professional		$73.29	$79.78	$102.35