Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.18 / $203.99 / $317.30	Facility		$129.18	$203.99	$317.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $129.18 / $308.74	Professional		$95.82	$129.18	$308.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $305.33 / $335.69 / $335.69	Professional		$305.33	$335.69	$335.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $214.51 / $519.25 / $519.25	Facility		$214.51	$519.25	$519.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $158.47 / $246.00 / $1,082.00	Professional		$158.47	$246.00	$1,082.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.09 / $206.88 / $344.84	Professional		$121.09	$206.88	$344.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $107.95 / $196.35 / $280.45	Facility		$107.95	$196.35	$280.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.02 / $194.40 / $284.39	Professional		$106.02	$194.40	$284.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $159.90 / $289.95	Professional		$28.91	$159.90	$289.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $169.54 / $225.17 / $231.15	Facility		$169.54	$225.17	$231.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.85 / $258.91 / $312.95	Professional		$168.85	$258.91	$312.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $158.47 / $220.44 / $294.39	Professional		$158.47	$220.44	$294.39
United Facility/Professional Professional Modifier Low / Median / High Price $121.98 / $179.66 / $334.02	Professional		$121.98	$179.66	$334.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.69 / $119.72 / $119.72	Professional		$94.69	$119.72	$119.72