Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.90 / $226.90 / $332.59	Facility		$162.90	$226.90	$332.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.70 / $134.25 / $314.30	Professional		$79.70	$134.25	$314.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.50 / $128.15 / $249.57	Professional		$88.50	$128.15	$249.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $241.60 / $423.87 / $423.87	Facility		$241.60	$423.87	$423.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $131.66 / $239.84 / $817.69	Professional		$131.66	$239.84	$817.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.09 / $193.89 / $351.13	Professional		$97.09	$193.89	$351.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $90.52 / $184.32 / $298.56	Facility		$90.52	$184.32	$298.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.52 / $183.10 / $298.56	Professional		$90.52	$183.10	$298.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $134.26 / $284.64	Professional		$85.00	$134.26	$284.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $169.80 / $247.23 / $259.29	Facility		$169.80	$247.23	$259.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.95 / $173.95 / $173.95	Facility		$173.95	$173.95	$173.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.93 / $232.63 / $336.73	Professional		$153.93	$232.63	$336.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $161.03 / $193.23 / $270.68	Facility		$161.03	$193.23	$270.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.31 / $200.58 / $299.54	Professional		$138.31	$200.58	$299.54
United Facility/Professional Professional Modifier Low / Median / High Price $130.10 / $198.08 / $369.79	Professional		$130.10	$198.08	$369.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.96 / $107.67 / $141.37	Professional		$97.96	$107.67	$141.37