Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.40 / $233.42 / $343.20	Facility		$169.40	$233.42	$343.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.16 / $131.62 / $296.12	Professional		$79.16	$131.62	$296.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $108.60 / $247.73	Professional		$70.00	$108.60	$247.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $183.80 / $442.03 / $442.03	Facility		$183.80	$442.03	$442.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $138.26 / $249.44 / $842.92	Professional		$138.26	$249.44	$842.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.39 / $201.63 / $361.10	Professional		$101.39	$201.63	$361.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $90.91 / $190.10 / $306.99	Facility		$90.91	$190.10	$306.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.76 / $190.02 / $306.99	Professional		$93.76	$190.02	$306.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.99 / $134.80 / $258.00	Professional		$90.99	$134.80	$258.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $184.59 / $255.27 / $266.66	Facility		$184.59	$255.27	$266.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.39 / $179.39 / $179.39	Facility		$179.39	$179.39	$179.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.81 / $239.24 / $346.30	Professional		$156.81	$239.24	$346.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $165.60 / $198.72 / $279.33	Facility		$165.60	$198.72	$279.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.28 / $208.21 / $308.05	Professional		$144.28	$208.21	$308.05
United Facility/Professional Professional Modifier Low / Median / High Price $133.52 / $205.12 / $380.42	Professional		$133.52	$205.12	$380.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $110.70 / $145.25	Professional		$102.24	$110.70	$145.25