Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.59 / $151.12 / $219.19	Facility		$115.59	$151.12	$219.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $89.64 / $191.66	Professional		$65.54	$89.64	$191.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $82.80 / $82.80	Professional		$82.80	$82.80	$82.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $128.33 / $319.41 / $319.41	Facility		$128.33	$319.41	$319.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $100.05 / $169.75 / $546.96	Professional		$100.05	$169.75	$546.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.63 / $143.10 / $236.59	Professional		$76.63	$143.10	$236.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $74.28 / $143.66 / $205.04	Facility		$74.28	$143.66	$205.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $135.54 / $205.04	Professional		$71.95	$135.54	$205.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $89.41	Professional		$45.00	$50.00	$89.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $119.07 / $163.47 / $172.19	Facility		$119.07	$163.47	$172.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.42 / $116.42 / $116.42	Facility		$116.42	$116.42	$116.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.40 / $168.61 / $229.37	Professional		$114.40	$168.61	$229.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $106.94 / $128.33 / $182.62	Facility		$106.94	$128.33	$182.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.05 / $146.69 / $201.86	Professional		$100.05	$146.69	$201.86
United Facility/Professional Professional Modifier Low / Median / High Price $91.31 / $137.26 / $247.16	Professional		$91.31	$137.26	$247.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $73.95 / $91.72	Professional		$70.68	$73.95	$91.72