Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.19 / $801.74 / $837.06	Facility		$353.19	$801.74	$837.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.68 / $313.95 / $531.38	Professional		$265.68	$313.95	$531.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $392.53 / $523.37 / $523.37	Professional		$392.53	$523.37	$523.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $458.28 / $1,152.33 / $2,336.91	Facility		$458.28	$1,152.33	$2,336.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $339.11 / $458.28 / $3,643.25	Professional		$339.11	$458.28	$3,643.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.03 / $345.03 / $345.03	Facility		$345.03	$345.03	$345.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $251.87 / $345.03	Professional		$251.87	$251.87	$345.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $278.45 / $523.37 / $1,266.56	Facility		$278.45	$523.37	$1,266.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $278.76 / $509.70 / $939.21	Professional		$278.76	$509.70	$939.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $361.08 / $401.21 / $441.33	Professional		$361.08	$401.21	$441.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $415.43 / $487.58 / $523.37	Facility		$415.43	$487.58	$523.37
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $471.03 / $523.37 / $533.84	Professional		$471.03	$523.37	$533.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $458.28 / $587.77 / $1,022.20	Facility		$458.28	$587.77	$1,022.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $498.15 / $511.10 / $511.10	Facility		$498.15	$511.10	$511.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $415.76 / $444.86 / $575.71	Professional		$415.76	$444.86	$575.71
United Facility/Professional Professional Modifier Low / Median / High Price $204.05 / $238.06 / $421.05	Professional		$204.05	$238.06	$421.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.82 / $173.82 / $262.63	Professional		$173.82	$173.82	$262.63