Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.55 / $204.33 / $300.08	Facility		$112.55	$204.33	$300.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.23 / $121.27 / $288.33	Professional		$70.23	$121.27	$288.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.50 / $143.60 / $217.79	Professional		$88.50	$143.60	$217.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $218.20 / $387.55 / $387.55	Facility		$218.20	$387.55	$387.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $121.51 / $217.75 / $732.11	Professional		$121.51	$217.75	$732.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.51 / $179.14 / $316.56	Professional		$94.51	$179.14	$316.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $80.47 / $166.42 / $269.05	Facility		$80.47	$166.42	$269.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $166.34 / $269.05	Professional		$81.59	$166.34	$269.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $120.00 / $239.51	Professional		$75.00	$120.00	$239.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $157.86 / $222.44 / $233.83	Facility		$157.86	$222.44	$233.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.38 / $155.38 / $155.38	Facility		$155.38	$155.38	$155.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.63 / $211.07 / $303.66	Professional		$140.63	$211.07	$303.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $145.21 / $174.26 / $243.96	Facility		$145.21	$174.26	$243.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $126.37 / $183.00 / $270.13	Professional		$126.37	$183.00	$270.13
United Facility/Professional Professional Modifier Low / Median / High Price $118.32 / $188.59 / $333.10	Professional		$118.32	$188.59	$333.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.58 / $97.18 / $127.46	Professional		$89.58	$97.18	$127.46