Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.42 / $94.89 / $234.03	Professional		$79.42	$94.89	$234.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.95 / $164.95 / $164.95	Professional		$164.95	$164.95	$164.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $466.35 / $466.35 / $466.35	Facility		$466.35	$466.35	$466.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $134.44 / $211.55 / $774.15	Professional		$134.44	$211.55	$774.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $81.84 / $81.84	Professional		$81.84	$81.84	$81.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $89.90 / $159.12 / $237.10	Facility		$89.90	$159.12	$237.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.90 / $161.57 / $237.10	Professional		$89.90	$161.57	$237.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $160.17 / $296.52	Professional		$28.84	$160.17	$296.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.19 / $179.56 / $197.20	Facility		$141.19	$179.56	$197.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.30 / $209.25 / $256.82	Professional		$141.30	$209.25	$256.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.44 / $180.79 / $238.15	Professional		$134.44	$180.79	$238.15
United Facility/Professional Professional Modifier Low / Median / High Price $115.50 / $160.40 / $279.17	Professional		$115.50	$160.40	$279.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.92 / $75.92 / $75.92	Professional		$75.92	$75.92	$75.92