Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.43 / $291.89 / $855.70	Facility		$244.43	$291.89	$855.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.85 / $428.86 / $621.84	Professional		$252.85	$428.86	$621.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $509.84 / $570.00 / $570.00	Professional		$509.84	$570.00	$570.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $430.29 / $841.46 / $2,424.52	Facility		$430.29	$841.46	$2,424.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $365.75 / $472.65 / $3,450.30	Professional		$365.75	$472.65	$3,450.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $465.67 / $465.67 / $489.93	Facility		$465.67	$465.67	$489.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.94 / $339.94 / $489.93	Professional		$339.94	$339.94	$489.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $421.03 / $844.75 / $1,956.69	Facility		$421.03	$844.75	$1,956.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.03 / $822.27 / $1,380.57	Professional		$421.03	$822.27	$1,380.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $472.57 / $525.08 / $577.58	Professional		$472.57	$525.08	$577.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $443.19 / $451.52 / $613.30	Facility		$443.19	$451.52	$613.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $365.75 / $472.65 / $860.58	Facility		$365.75	$472.65	$860.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.75 / $472.65 / $653.14	Professional		$365.75	$472.65	$653.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $430.29 / $430.29 / $485.70	Facility		$430.29	$430.29	$485.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $357.87 / $381.14 / $544.12	Professional		$357.87	$381.14	$544.12
United Facility/Professional Professional Modifier Low / Median / High Price $321.64 / $348.45 / $569.51	Professional		$321.64	$348.45	$569.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $453.88 / $461.15 / $461.15	Professional		$453.88	$461.15	$461.15