Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.90 / $415.89 / $571.40	Facility		$332.90	$415.89	$571.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.28 / $220.94 / $377.15	Professional		$193.28	$220.94	$377.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $630.28 / $630.28 / $630.28	Professional		$630.28	$630.28	$630.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $348.33 / $567.35 / $1,085.27	Facility		$348.33	$567.35	$1,085.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $310.76 / $546.20 / $1,969.80	Professional		$310.76	$546.20	$1,969.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.59 / $364.04 / $701.05	Professional		$214.59	$364.04	$701.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $235.77 / $378.04 / $616.66	Facility		$235.77	$378.04	$616.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $243.90 / $392.95 / $624.59	Professional		$243.90	$392.95	$624.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.17 / $301.88 / $545.23	Professional		$54.17	$301.88	$545.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $434.68 / $462.30	Facility		$302.00	$434.68	$462.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $310.76 / $310.76 / $315.74	Facility		$310.76	$310.76	$315.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.69 / $525.02 / $616.83	Professional		$317.69	$525.02	$616.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $413.98 / $567.35 / $1,085.27	Facility		$413.98	$567.35	$1,085.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $318.25 / $424.07 / $602.14	Professional		$318.25	$424.07	$602.14
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $648.00 / $5,793.00	Facility		$140.00	$648.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $253.26 / $313.56 / $655.50	Professional		$253.26	$313.56	$655.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $256.68 / $256.68 / $256.68	Professional		$256.68	$256.68	$256.68