Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.94 / $199.85 / $293.23	Facility		$135.94	$199.85	$293.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.22 / $110.83 / $260.70	Professional		$68.22	$110.83	$260.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $113.10 / $200.64	Professional		$77.59	$113.10	$200.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $170.76 / $352.73 / $352.73	Facility		$170.76	$352.73	$352.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $114.03 / $207.82 / $715.23	Professional		$114.03	$207.82	$715.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.88 / $163.62 / $310.70	Professional		$83.88	$163.62	$310.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $161.82 / $264.14	Facility		$78.31	$161.82	$264.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $160.19 / $261.54	Professional		$78.31	$160.19	$261.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $120.00 / $240.00	Professional		$72.84	$120.00	$240.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $152.41 / $216.14 / $229.14	Facility		$152.41	$216.14	$229.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.76 / $151.76 / $151.76	Facility		$151.76	$151.76	$151.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.88 / $197.73 / $297.56	Professional		$125.88	$197.73	$297.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $142.30 / $170.76 / $236.74	Facility		$142.30	$170.76	$236.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $115.42 / $173.30 / $259.75	Professional		$115.42	$173.30	$259.75
United Facility/Professional Professional Modifier Low / Median / High Price $118.37 / $184.81 / $324.70	Professional		$118.37	$184.81	$324.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $94.97 / $125.40	Professional		$81.59	$94.97	$125.40