Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $199.71 / $293.73	Facility		$109.44	$199.71	$293.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $114.52 / $266.00	Professional		$70.04	$114.52	$266.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $146.21 / $219.24	Professional		$70.00	$146.21	$219.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $155.90 / $373.93 / $373.93	Facility		$155.90	$373.93	$373.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $119.02 / $212.99 / $717.08	Professional		$119.02	$212.99	$717.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $173.61 / $309.49	Professional		$92.16	$173.61	$309.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $163.10 / $262.73	Facility		$79.50	$163.10	$262.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.47 / $162.00 / $262.73	Professional		$80.47	$162.00	$262.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $122.87 / $293.22	Professional		$77.23	$122.87	$293.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $146.69 / $215.54 / $228.47	Facility		$146.69	$215.54	$228.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.21 / $152.21 / $152.21	Facility		$152.21	$152.21	$152.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $204.43 / $296.70	Professional		$133.47	$204.43	$296.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $141.88 / $170.27 / $238.20	Facility		$141.88	$170.27	$238.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $122.39 / $181.47 / $263.93	Professional		$122.39	$181.47	$263.93
United Facility/Professional Professional Modifier Low / Median / High Price $118.56 / $184.28 / $326.14	Professional		$118.56	$184.28	$326.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.55 / $94.42 / $124.04	Professional		$86.55	$94.42	$124.04