Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.95 / $160.52 / $287.38	Facility		$121.95	$160.52	$287.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.86 / $121.95 / $362.00	Professional		$88.86	$121.95	$362.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.77 / $95.67 / $173.23	Professional		$84.77	$95.67	$173.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $114.88 / $165.42 / $398.13	Facility		$114.88	$165.42	$398.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $113.14 / $185.60 / $679.98	Professional		$113.14	$185.60	$679.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.61 / $187.06 / $265.50	Professional		$88.61	$187.06	$265.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.56 / $197.47 / $263.19	Facility		$118.56	$197.47	$263.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.18 / $205.13 / $273.75	Professional		$130.18	$205.13	$273.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $156.63 / $283.76	Professional		$29.08	$156.63	$283.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $145.75 / $177.55 / $211.72	Facility		$145.75	$177.55	$211.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.88 / $114.88 / $144.96	Facility		$114.88	$114.88	$144.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.77 / $204.29 / $244.64	Professional		$122.77	$204.29	$244.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $146.56 / $178.10 / $234.66	Professional		$146.56	$178.10	$234.66
United Facility/Professional Professional Modifier Low / Median / High Price $114.66 / $157.50 / $276.95	Professional		$114.66	$157.50	$276.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $92.06 / $93.64	Professional		$73.70	$92.06	$93.64