Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.23 / $95.49 / $185.42	Facility		$78.23	$95.49	$185.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.96 / $85.00 / $206.00	Professional		$61.96	$85.00	$206.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $122.72 / $153.40	Professional		$76.70	$122.72	$153.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $93.32 / $148.81 / $357.27	Facility		$93.32	$148.81	$357.27
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $11.12 / $35.72 / $35.72	Facility	AS	$11.12	$35.72	$35.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $90.09 / $160.30 / $469.94	Professional		$90.09	$160.30	$469.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $140.08 / $229.97	Professional		$71.59	$140.08	$229.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $59.13 / $125.23 / $176.32	Facility		$59.13	$125.23	$176.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $138.53 / $179.56	Professional		$64.45	$138.53	$179.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $157.43 / $283.92	Professional		$29.08	$157.43	$283.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $98.84 / $136.68 / $156.78	Facility		$98.84	$136.68	$156.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.32 / $93.32 / $101.44	Facility		$93.32	$93.32	$101.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $175.10 / $212.26	Professional		$111.00	$175.10	$212.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $94.35 / $143.79 / $194.22	Professional		$94.35	$143.79	$194.22
United Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $98.05 / $204.91	Professional		$77.30	$98.05	$204.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.15 / $65.15 / $82.49	Professional		$65.15	$65.15	$82.49