Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.66 / $191.53 / $280.52	Facility		$127.66	$191.53	$280.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $105.50 / $260.14	Professional		$61.24	$105.50	$260.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.40 / $134.80 / $209.50	Professional		$95.40	$134.80	$209.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $163.28 / $328.49 / $328.49	Facility		$163.28	$328.49	$328.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $106.66 / $196.00 / $685.73	Professional		$106.66	$196.00	$685.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.43 / $153.63 / $297.29	Professional		$78.43	$153.63	$297.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $147.69 / $250.47	Facility		$70.98	$147.69	$250.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $147.43 / $249.15	Professional		$70.98	$147.43	$249.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.24 / $119.54 / $233.21	Professional		$68.24	$119.54	$233.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $135.24 / $206.39 / $219.09	Facility		$135.24	$206.39	$219.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.41 / $145.41 / $145.41	Facility		$145.41	$145.41	$145.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.29 / $187.93 / $284.52	Professional		$118.29	$187.93	$284.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $136.06 / $163.28 / $225.92	Facility		$136.06	$163.28	$225.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.96 / $164.43 / $248.36	Professional		$107.96	$164.43	$248.36
United Facility/Professional Professional Modifier Low / Median / High Price $106.10 / $169.02 / $311.87	Professional		$106.10	$169.02	$311.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $90.55 / $119.90	Professional		$76.09	$90.55	$119.90