Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.65 / $143.53 / $278.70	Facility		$107.65	$143.53	$278.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $116.99 / $264.81	Professional		$85.00	$116.99	$264.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.53 / $178.45 / $227.01	Professional		$111.53	$178.45	$227.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $137.71 / $214.14 / $517.75	Facility		$137.71	$214.14	$517.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $124.03 / $232.19 / $674.51	Professional		$124.03	$232.19	$674.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.18 / $204.20 / $335.95	Professional		$106.18	$204.20	$335.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $94.55 / $183.64 / $256.95	Facility		$94.55	$183.64	$256.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.43 / $200.62 / $268.11	Professional		$95.43	$200.62	$268.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $157.87 / $283.92	Professional		$29.08	$157.87	$283.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.29 / $202.34 / $227.80	Facility		$147.29	$202.34	$227.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.71 / $137.71 / $147.38	Facility		$137.71	$137.71	$147.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.32 / $253.67 / $308.41	Professional		$164.32	$253.67	$308.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $139.22 / $208.93 / $281.37	Professional		$139.22	$208.93	$281.37
United Facility/Professional Professional Modifier Low / Median / High Price $110.63 / $148.27 / $322.06	Professional		$110.63	$148.27	$322.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.42 / $94.42 / $120.75	Professional		$94.42	$94.42	$120.75