Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.76 / $70.18 / $341.57	Facility		$56.76	$70.18	$341.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $69.23 / $131.36	Professional		$56.76	$69.23	$131.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $68.45 / $140.12	Professional		$68.45	$68.45	$140.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $93.32 / $118.83 / $368.27	Facility		$93.32	$118.83	$368.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $87.83 / $152.44 / $605.91	Professional		$87.83	$152.44	$605.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $64.28 / $64.28	Professional		$64.28	$64.28	$64.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $59.13 / $112.84 / $168.81	Facility		$59.13	$112.84	$168.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.24 / $125.28 / $174.34	Professional		$63.24	$125.28	$174.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $104.26 / $186.84	Professional		$19.67	$104.26	$186.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $98.49 / $136.01 / $143.38	Facility		$98.49	$136.01	$143.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.32 / $93.32 / $97.80	Facility		$93.32	$93.32	$97.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.43 / $162.83 / $194.89	Professional		$104.43	$162.83	$194.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.17 / $137.30 / $185.32	Professional		$95.17	$137.30	$185.32
United Facility/Professional Professional Modifier Low / Median / High Price $79.17 / $102.56 / $203.30	Professional		$79.17	$102.56	$203.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.63 / $59.63 / $59.63	Professional		$59.63	$59.63	$59.63