Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.23 / $110.10 / $156.49	Facility		$83.23	$110.10	$156.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.11 / $63.36 / $129.93	Professional		$45.11	$63.36	$129.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $60.90 / $60.90	Professional		$58.89	$60.90	$60.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $115.06 / $213.45 / $213.45	Facility		$115.06	$213.45	$213.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $119.98 / $402.01	Professional		$68.20	$119.98	$402.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.43 / $98.85 / $169.47	Professional		$51.43	$98.85	$169.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $51.64 / $99.04 / $145.51	Facility		$51.64	$99.04	$145.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.90 / $95.36 / $145.38	Professional		$49.90	$95.36	$145.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $92.57	Professional		$45.00	$50.00	$92.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $85.26 / $116.58 / $125.29	Facility		$85.26	$116.58	$125.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.62 / $85.62 / $85.62	Facility		$85.62	$85.62	$85.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.05 / $113.38 / $163.97	Professional		$77.05	$113.38	$163.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.81 / $93.38 / $133.54	Facility		$77.81	$93.38	$133.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.65 / $101.81 / $145.76	Professional		$70.65	$101.81	$145.76
United Facility/Professional Professional Modifier Low / Median / High Price $66.77 / $101.76 / $180.39	Professional		$66.77	$101.76	$180.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.44 / $51.63 / $67.59	Professional		$49.44	$51.63	$67.59