Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $78.62 / $207.55	Facility		$39.31	$78.62	$207.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $91.43 / $407.00	Professional		$70.56	$91.43	$407.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.62 / $101.62 / $135.49	Professional		$101.62	$101.62	$135.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $118.64 / $405.91 / $722.40	Facility		$118.64	$405.91	$722.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $118.64 / $1,283.27	Professional		$97.89	$118.64	$1,283.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $86.88 / $86.88	Facility		$81.70	$86.88	$86.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $63.42 / $139.97	Professional		$63.42	$63.42	$139.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $85.08 / $143.80 / $371.24	Facility		$85.08	$143.80	$371.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.17 / $145.13 / $287.14	Professional		$85.17	$145.13	$287.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.91 / $127.68 / $143.82	Professional		$114.91	$127.68	$143.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $107.55 / $132.31 / $180.65	Facility		$107.55	$132.31	$180.65
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $121.94 / $135.49 / $180.65	Professional		$121.94	$135.49	$180.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.64 / $152.16 / $264.62	Facility		$118.64	$152.16	$264.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $128.96 / $132.31 / $132.31	Facility		$128.96	$132.31	$132.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.63 / $115.17 / $149.04	Professional		$107.63	$115.17	$149.04
United Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $67.59 / $128.96	Professional		$62.50	$67.59	$128.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.18 / $90.04 / $90.04	Professional		$82.18	$90.04	$90.04