Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.22 / $207.56 / $305.64	Facility		$144.22	$207.56	$305.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $115.77 / $272.70	Professional		$70.04	$115.77	$272.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $117.51 / $220.92	Professional		$55.50	$117.51	$220.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $177.26 / $373.93 / $373.93	Facility		$177.26	$373.93	$373.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $120.05 / $217.22 / $743.11	Professional		$120.05	$217.22	$743.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.90 / $171.68 / $322.49	Professional		$88.90	$171.68	$322.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $80.59 / $166.36 / $273.97	Facility		$80.59	$166.36	$273.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $163.15 / $273.97	Professional		$80.59	$163.15	$273.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $120.00 / $240.00	Professional		$76.95	$120.00	$240.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.58 / $225.79 / $237.85	Facility		$154.58	$225.79	$237.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.63 / $157.63 / $157.63	Facility		$157.63	$157.63	$157.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $210.35 / $308.89	Professional		$133.47	$210.35	$308.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $147.71 / $177.26 / $246.86	Facility		$147.71	$177.26	$246.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $122.39 / $183.00 / $272.50	Professional		$122.39	$183.00	$272.50
United Facility/Professional Professional Modifier Low / Median / High Price $121.72 / $195.46 / $343.55	Professional		$121.72	$195.46	$343.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.55 / $98.56 / $129.96	Professional		$86.55	$98.56	$129.96