Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.35 / $591.00 / $931.43	Facility		$376.35	$591.00	$931.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.68 / $376.35 / $906.92	Professional		$278.68	$376.35	$906.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $511.86 / $558.61 / $651.02	Professional		$511.86	$558.61	$651.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $627.36 / $1,515.34 / $4,869.80	Facility		$627.36	$1,515.34	$4,869.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $459.37 / $702.47 / $5,713.05	Professional		$459.37	$702.47	$5,713.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.64 / $601.41 / $1,003.03	Professional		$343.64	$601.41	$1,003.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $312.89 / $571.45 / $818.73	Facility		$312.89	$571.45	$818.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $311.24 / $571.32 / $835.82	Professional		$311.24	$571.32	$835.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $531.47 / $963.13	Professional		$96.43	$531.47	$963.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $494.41 / $656.59 / $672.01	Facility		$494.41	$656.59	$672.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.49 / $749.05 / $909.82	Professional		$488.49	$749.05	$909.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $459.37 / $639.01 / $855.85	Professional		$459.37	$639.01	$855.85
United Facility/Professional Professional Modifier Low / Median / High Price $357.24 / $530.74 / $966.46	Professional		$357.24	$530.74	$966.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $276.35 / $349.13 / $349.13	Professional		$276.35	$349.13	$349.13