Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.40 / $234.03 / $344.11	Facility		$169.40	$234.03	$344.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.17 / $139.82 / $319.89	Professional		$88.17	$139.82	$319.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.50 / $146.04 / $264.88	Professional		$115.50	$146.04	$264.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $199.23 / $442.03 / $442.03	Facility		$199.23	$442.03	$442.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $141.81 / $251.14 / $845.09	Professional		$141.81	$251.14	$845.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.24 / $203.87 / $362.03	Professional		$109.24	$203.87	$362.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $96.71 / $201.57 / $307.69	Facility		$96.71	$201.57	$307.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.43 / $194.35 / $307.69	Professional		$95.43	$194.35	$307.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $132.42	Professional		$50.00	$50.00	$132.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $184.32 / $255.27 / $267.33	Facility		$184.32	$255.27	$267.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.84 / $179.84 / $179.84	Facility		$179.84	$179.84	$179.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.81 / $239.84 / $347.17	Professional		$156.81	$239.84	$347.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $166.03 / $199.23 / $279.33	Facility		$166.03	$199.23	$279.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.28 / $208.41 / $308.83	Professional		$144.28	$208.41	$308.83
United Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $215.62 / $388.75	Professional		$139.66	$215.62	$388.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $111.26 / $146.04	Professional		$102.24	$111.26	$146.04