Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.84 / $140.46 / $212.55	Facility		$94.84	$140.46	$212.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $94.33 / $211.26	Professional		$70.45	$94.33	$211.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.66 / $64.15 / $70.19	Professional		$59.66	$64.15	$70.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $101.02 / $140.84 / $333.03	Facility		$101.02	$140.84	$333.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $87.97 / $169.36 / $625.42	Professional		$87.97	$169.36	$625.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $129.12 / $216.29	Professional		$83.76	$129.12	$216.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $69.44 / $129.91 / $186.08	Facility		$69.44	$129.91	$186.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.83 / $116.63 / $186.08	Professional		$68.83	$116.63	$186.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.19 / $106.10 / $180.60	Professional		$18.19	$106.10	$180.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $104.17 / $143.21 / $148.74	Facility		$104.17	$143.21	$148.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.02 / $101.02 / $101.45	Facility		$101.02	$101.02	$101.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.05 / $171.83 / $208.08	Professional		$106.05	$171.83	$208.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.97 / $137.18 / $183.57	Professional		$87.97	$137.18	$183.57
United Facility/Professional Professional Modifier Low / Median / High Price $93.24 / $133.19 / $216.28	Professional		$93.24	$133.19	$216.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.40 / $75.47 / $75.47	Professional		$64.40	$75.47	$75.47