Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.73 / $891.50 / $930.77	Facility		$392.73	$891.50	$930.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.49 / $392.73 / $835.77	Professional		$276.49	$392.73	$835.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $960.87 / $960.87 / $960.87	Professional		$960.87	$960.87	$960.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $321.66 / $963.83 / $3,271.09	Facility		$321.66	$963.83	$3,271.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $281.61 / $497.28 / $2,329.78	Professional		$281.61	$497.28	$2,329.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.58 / $736.58 / $761.97	Facility		$736.58	$736.58	$761.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.70 / $537.70 / $762.64	Professional		$537.70	$537.70	$762.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $314.74 / $1,271.92 / $3,341.28	Facility		$314.74	$1,271.92	$3,341.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.74 / $1,224.51 / $2,131.69	Professional		$314.74	$1,224.51	$2,131.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $806.96 / $896.63 / $986.29	Professional		$806.96	$896.63	$986.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.31 / $493.74 / $960.87	Facility		$331.31	$493.74	$960.87
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $929.15 / $929.15 / $929.15	Professional		$929.15	$929.15	$929.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.41 / $497.28 / $643.32	Facility		$273.41	$497.28	$643.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.41 / $488.24 / $961.17	Professional		$273.41	$488.24	$961.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $321.66 / $321.66 / $519.54	Facility		$321.66	$321.66	$519.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $267.52 / $284.93 / $929.15	Professional		$267.52	$284.93	$929.15
United Facility/Professional Professional Modifier Low / Median / High Price $502.71 / $534.05 / $890.10	Professional		$502.71	$534.05	$890.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $187.89 / $187.89 / $686.57	Professional		$187.89	$187.89	$686.57