Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.80 / $267.73 / $519.86	Facility		$200.80	$267.73	$519.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.00 / $218.05 / $465.19	Professional		$159.00	$218.05	$465.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $192.83 / $298.08 / $339.64	Professional		$192.83	$298.08	$339.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $222.82 / $325.72 / $782.64	Facility		$222.82	$325.72	$782.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $222.82 / $363.96 / $1,215.07	Professional		$222.82	$363.96	$1,215.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.25 / $339.39 / $510.49	Professional		$174.25	$339.39	$510.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $177.63 / $333.30 / $439.04	Facility		$177.63	$333.30	$439.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.29 / $364.65 / $470.62	Professional		$179.29	$364.65	$470.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $261.00 / $473.84	Professional		$48.52	$261.00	$473.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.04 / $338.39 / $384.58	Facility		$275.04	$338.39	$384.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.82 / $222.82 / $259.57	Facility		$222.82	$222.82	$259.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $258.80 / $391.82 / $481.77	Professional		$258.80	$391.82	$481.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $262.43 / $337.56 / $461.67	Professional		$262.43	$337.56	$461.67
United Facility/Professional Professional Modifier Low / Median / High Price $212.09 / $279.79 / $516.07	Professional		$212.09	$279.79	$516.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.72 / $142.72 / $180.66	Professional		$142.72	$142.72	$180.66