Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.66 / $183.08 / $267.70	Facility		$127.66	$183.08	$267.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $104.25 / $249.39	Professional		$61.24	$104.25	$249.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $113.39 / $206.16	Professional		$73.50	$113.39	$206.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $155.79 / $328.49 / $328.49	Facility		$155.79	$328.49	$328.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $105.12 / $191.72 / $655.29	Professional		$105.12	$191.72	$655.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.91 / $153.63 / $283.36	Professional		$82.91	$153.63	$283.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $147.18 / $241.66	Facility		$70.98	$147.18	$241.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $142.86 / $241.66	Professional		$70.98	$142.86	$241.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $113.65 / $222.00	Professional		$68.31	$113.65	$222.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $130.80 / $197.27 / $209.04	Facility		$130.80	$197.27	$209.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.07 / $139.07 / $139.07	Facility		$139.07	$139.07	$139.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.29 / $185.42 / $271.47	Professional		$118.29	$185.42	$271.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $129.83 / $155.79 / $216.54	Facility		$129.83	$155.79	$216.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.96 / $162.85 / $240.64	Professional		$107.96	$162.85	$240.64
United Facility/Professional Professional Modifier Low / Median / High Price $100.97 / $162.00 / $298.33	Professional		$100.97	$162.00	$298.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $86.41 / $113.98	Professional		$76.09	$86.41	$113.98