Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.40 / $405.40 / $405.40	Facility		$405.40	$405.40	$405.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.37 / $330.18 / $415.95	Professional		$252.37	$330.18	$415.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $343.00 / $343.00 / $343.00	Professional		$343.00	$343.00	$343.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $562.57 / $1,927.28 / $1,927.28	Facility		$562.57	$1,927.28	$1,927.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $398.70 / $816.88 / $3,231.23	Professional		$398.70	$816.88	$3,231.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $378.23 / $378.23	Professional		$378.23	$378.23	$378.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $285.60 / $544.50 / $859.70	Facility		$285.60	$544.50	$859.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $299.88 / $541.11 / $844.05	Professional		$299.88	$541.11	$844.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.17 / $685.47 / $1,173.49	Professional		$116.17	$685.47	$1,173.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $558.72 / $731.24 / $860.28	Facility		$558.72	$731.24	$860.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $453.45 / $453.45 / $453.45	Facility		$453.45	$453.45	$453.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.75 / $766.42 / $1,101.46	Professional		$528.75	$766.42	$1,101.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $410.87 / $451.83 / $542.70	Facility		$410.87	$451.83	$542.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $393.09 / $675.43 / $993.82	Professional		$393.09	$675.43	$993.82
United Facility/Professional Professional Modifier Low / Median / High Price $398.18 / $581.97 / $1,005.01	Professional		$398.18	$581.97	$1,005.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $350.88 / $350.88 / $448.27	Professional		$350.88	$350.88	$448.27