Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.94 / $140.60 / $214.54	Facility		$61.94	$140.60	$214.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.21 / $69.45 / $112.11	Professional		$51.21	$69.45	$112.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $143.03 / $211.90	Professional		$68.31	$143.03	$211.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $66.29 / $129.63 / $370.47	Facility		$66.29	$129.63	$370.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $56.35 / $75.11 / $518.09	Professional		$56.35	$75.11	$518.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.97 / $84.97 / $87.14	Facility		$84.97	$84.97	$87.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $62.03 / $87.14	Professional		$62.03	$62.03	$87.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $64.87 / $136.79 / $366.93	Facility		$64.87	$136.79	$366.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $133.15 / $221.00	Professional		$64.87	$133.15	$221.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.57 / $63.97 / $72.47	Professional		$57.57	$63.97	$72.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $68.28 / $69.56 / $105.95	Facility		$68.28	$69.56	$105.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.35 / $77.84 / $132.58	Facility		$56.35	$77.84	$132.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.35 / $77.01 / $121.22	Professional		$56.35	$77.01	$121.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $66.29 / $66.29 / $80.28	Facility		$66.29	$66.29	$80.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.14 / $58.72 / $102.04	Professional		$55.14	$58.72	$102.04
United Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $60.79 / $92.25	Professional		$52.67	$60.79	$92.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.40 / $63.40 / $71.04	Professional		$63.40	$63.40	$71.04