Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.74 / $232.50 / $370.27	Facility		$147.74	$232.50	$370.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.48 / $136.02 / $354.47	Professional		$109.48	$136.02	$354.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.65 / $124.65 / $124.65	Professional		$124.65	$124.65	$124.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $244.96 / $593.41 / $593.41	Facility		$244.96	$593.41	$593.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $181.37 / $283.42 / $1,352.50	Professional		$181.37	$283.42	$1,352.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.79 / $236.64 / $394.92	Professional		$139.79	$236.64	$394.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $124.93 / $229.50 / $330.33	Facility		$124.93	$229.50	$330.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.93 / $224.40 / $335.75	Professional		$124.93	$224.40	$335.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.26 / $211.01 / $384.20	Professional		$38.26	$211.01	$384.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $197.96 / $257.41 / $265.99	Facility		$197.96	$257.41	$265.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.27 / $294.83 / $358.30	Professional		$192.27	$294.83	$358.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $181.37 / $252.29 / $337.05	Professional		$181.37	$252.29	$337.05
United Facility/Professional Professional Modifier Low / Median / High Price $146.68 / $204.95 / $383.45	Professional		$146.68	$204.95	$383.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.22 / $136.81 / $136.81	Professional		$108.22	$136.81	$136.81