Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.79 / $236.53 / $421.57	Facility		$164.79	$236.53	$421.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.92 / $168.16 / $284.89	Professional		$119.92	$168.16	$284.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.69 / $126.69 / $126.69	Professional		$126.69	$126.69	$126.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $604.00 / $604.00	Facility		$90.00	$604.00	$604.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $194.67 / $933.45 / $1,111.43	Professional		$194.67	$933.45	$1,111.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.46 / $275.25 / $441.94	Professional		$154.46	$275.25	$441.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $157.19 / $291.48 / $425.25	Facility		$157.19	$291.48	$425.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $281.07 / $425.25	Professional		$147.56	$281.07	$425.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.25 / $136.45 / $242.99	Professional		$89.25	$136.45	$242.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $252.84 / $316.60 / $350.41	Facility		$252.84	$316.60	$350.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.52 / $248.52 / $248.52	Professional		$248.52	$248.52	$248.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $200.14 / $240.17 / $377.50	Facility		$200.14	$240.17	$377.50
United Facility/Professional Professional Modifier Low / Median / High Price $183.05 / $292.88 / $498.05	Professional		$183.05	$292.88	$498.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $132.79 / $140.16 / $172.52	Professional		$132.79	$140.16	$172.52