Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.01 / $149.84 / $156.44	Facility		$66.01	$149.84	$156.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $70.14 / $120.43	Professional		$58.23	$70.14	$120.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.11 / $71.11 / $71.11	Professional		$71.11	$71.11	$71.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $104.22 / $194.07 / $534.52	Facility		$104.22	$194.07	$534.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $103.42 / $108.86 / $879.15	Professional		$103.42	$108.86	$879.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $47.79 / $47.79	Professional		$47.79	$47.79	$47.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $82.29 / $165.30 / $234.22	Facility		$82.29	$165.30	$234.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.76 / $165.30 / $234.22	Professional		$96.76	$165.30	$234.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $119.03	Professional		$30.00	$60.00	$119.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $166.10 / $199.51 / $202.34	Facility		$166.10	$199.51	$202.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.22 / $104.22 / $104.22	Facility		$104.22	$104.22	$104.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.80 / $98.80 / $98.80	Professional		$98.80	$98.80	$98.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $103.42 / $108.86 / $108.86	Professional		$103.42	$108.86	$108.86
United Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $60.71 / $96.30	Professional		$48.02	$60.71	$96.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.12 / $84.12 / $150.00	Professional		$84.12	$84.12	$150.00