Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.51 / $283.92 / $418.67	Facility		$212.51	$283.92	$418.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.31 / $161.04 / $355.58	Professional		$106.31	$161.04	$355.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.07 / $176.37 / $312.56	Professional		$142.07	$176.37	$312.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $229.23 / $551.02 / $551.02	Facility		$229.23	$551.02	$551.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $170.28 / $305.81 / $1,021.95	Professional		$170.28	$305.81	$1,021.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.08 / $251.43 / $438.85	Professional		$129.08	$251.43	$438.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.11 / $246.22 / $373.02	Facility		$118.11	$246.22	$373.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.11 / $237.46 / $373.02	Professional		$118.11	$237.46	$373.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $80.00	Professional		$50.00	$50.00	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.45 / $307.50 / $324.27	Facility		$204.45	$307.50	$324.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.44 / $217.44 / $217.44	Facility		$217.44	$217.44	$217.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.96 / $291.58 / $421.13	Professional		$196.96	$291.58	$421.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $201.39 / $241.67 / $340.68	Facility		$201.39	$241.67	$340.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $179.63 / $258.48 / $374.62	Professional		$179.63	$258.48	$374.62
United Facility/Professional Professional Modifier Low / Median / High Price $170.34 / $259.58 / $463.44	Professional		$170.34	$259.58	$463.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $134.72 / $176.37	Professional		$127.43	$134.72	$176.37