Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.90 / $314.64 / $513.78	Facility		$201.90	$314.64	$513.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.88 / $204.53 / $372.11	Professional		$148.88	$204.53	$372.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.13 / $170.13 / $170.31	Professional		$170.13	$170.13	$170.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $809.87 / $809.87	Facility		$90.00	$809.87	$809.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $256.04 / $1,155.58 / $1,355.26	Professional		$256.04	$1,155.58	$1,355.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.95 / $347.03 / $570.60	Professional		$197.95	$347.03	$570.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $194.99 / $363.05 / $520.50	Facility		$194.99	$363.05	$520.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.17 / $342.80 / $528.74	Professional		$181.17	$342.80	$528.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $119.67 / $178.53 / $315.87	Professional		$119.67	$178.53	$315.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $308.20 / $412.67 / $426.79	Facility		$308.20	$412.67	$426.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.55 / $321.55 / $321.55	Professional		$321.55	$321.55	$321.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $261.31 / $313.58 / $459.78	Facility		$261.31	$313.58	$459.78
United Facility/Professional Professional Modifier Low / Median / High Price $223.68 / $343.98 / $611.52	Professional		$223.68	$343.98	$611.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.09 / $187.04 / $223.35	Professional		$173.09	$187.04	$223.35