Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.26 / $107.15 / $427.39	Facility		$79.26	$107.15	$427.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.46 / $78.65 / $291.85	Professional		$53.46	$78.65	$291.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $49.96 / $49.96	Professional		$49.96	$49.96	$49.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $80.43 / $109.84 / $258.85	Facility		$80.43	$109.84	$258.85
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $71.87 / $126.80 / $494.25	Professional		$71.87	$126.80	$494.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.79 / $99.03 / $173.25	Professional		$66.79	$99.03	$173.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $53.01 / $99.18 / $146.91	Facility		$53.01	$99.18	$146.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.25 / $88.83 / $146.91	Professional		$52.25	$88.83	$146.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $53.39 / $90.58	Professional		$9.16	$53.39	$90.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $111.15 / $121.27	Facility		$80.88	$111.15	$121.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.43 / $80.43 / $82.45	Facility		$80.43	$80.43	$82.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.08 / $138.58 / $166.66	Professional		$84.08	$138.58	$166.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.87 / $108.73 / $149.97	Professional		$71.87	$108.73	$149.97
United Facility/Professional Professional Modifier Low / Median / High Price $74.41 / $101.36 / $176.47	Professional		$74.41	$101.36	$176.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.81 / $58.78 / $58.78	Professional		$48.81	$58.78	$58.78