Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.53 / $261.06 / $386.19	Facility		$197.53	$261.06	$386.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.08 / $160.68 / $363.82	Professional		$97.08	$160.68	$363.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $151.50 / $278.58	Professional		$111.00	$151.50	$278.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $213.43 / $513.16 / $513.16	Facility		$213.43	$513.16	$513.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $282.83 / $944.96	Professional		$157.50	$282.83	$944.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.78 / $234.00 / $404.28	Professional		$117.78	$234.00	$404.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $109.12 / $224.45 / $342.82	Facility		$109.12	$224.45	$342.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.05 / $221.67 / $342.82	Professional		$110.05	$221.67	$342.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $120.25 / $234.54	Professional		$50.00	$120.25	$234.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $207.85 / $286.08 / $298.82	Facility		$207.85	$286.08	$298.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $201.13 / $201.13 / $201.13	Facility		$201.13	$201.13	$201.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.60 / $270.41 / $388.06	Professional		$186.60	$270.41	$388.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $185.58 / $222.69 / $313.26	Facility		$185.58	$222.69	$313.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $167.23 / $237.48 / $345.93	Professional		$167.23	$237.48	$345.93
United Facility/Professional Professional Modifier Low / Median / High Price $151.90 / $241.01 / $425.78	Professional		$151.90	$241.01	$425.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $118.66 / $123.96 / $162.07	Professional		$118.66	$123.96	$162.07