Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.89 / $154.88 / $282.29	Facility		$111.89	$154.88	$282.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.56 / $119.00 / $207.78	Professional		$80.56	$119.00	$207.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.71 / $87.71 / $164.23	Professional		$87.71	$87.71	$164.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $398.13 / $398.13	Facility		$90.00	$398.13	$398.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $128.19 / $583.45 / $746.21	Professional		$128.19	$583.45	$746.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.61 / $182.42 / $305.27	Professional		$97.61	$182.42	$305.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $101.30 / $188.57 / $286.31	Facility		$101.30	$188.57	$286.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.70 / $184.21 / $287.70	Professional		$98.70	$184.21	$287.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $91.17 / $175.60	Professional		$59.20	$91.17	$175.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $169.05 / $222.22 / $235.17	Facility		$169.05	$222.22	$235.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.58 / $176.58 / $176.58	Professional		$176.58	$176.58	$176.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $140.22 / $168.27 / $251.90	Facility		$140.22	$168.27	$251.90
United Facility/Professional Professional Modifier Low / Median / High Price $125.83 / $191.95 / $341.89	Professional		$125.83	$191.95	$341.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.06 / $93.31 / $121.65	Professional		$92.06	$93.31	$121.65