Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.29 / $844.16 / $1,401.80	Facility		$249.29	$844.16	$1,401.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.06 / $249.29 / $790.00	Professional		$203.06	$249.29	$790.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $277.06 / $325.00 / $369.41	Professional		$277.06	$325.00	$369.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $323.47 / $768.33 / $1,762.49	Facility		$323.47	$768.33	$1,762.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $246.21 / $321.39 / $1,905.35	Professional		$246.21	$321.39	$1,905.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.27 / $211.27 / $211.27	Facility		$211.27	$211.27	$211.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $154.22 / $211.27	Professional		$154.22	$154.22	$211.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $194.48 / $369.41 / $968.43	Facility		$194.48	$369.41	$968.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.83 / $369.41 / $718.27	Professional		$203.83	$369.41	$718.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $254.87 / $283.19 / $311.50	Professional		$254.87	$283.19	$311.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $293.23 / $360.75 / $382.60	Facility		$293.23	$360.75	$382.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $332.47 / $369.41 / $382.60	Professional		$332.47	$369.41	$382.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.47 / $414.86 / $721.50	Facility		$323.47	$414.86	$721.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $351.61 / $360.75 / $360.75	Facility		$351.61	$360.75	$360.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $293.45 / $314.00 / $406.35	Professional		$293.45	$314.00	$406.35
United Facility/Professional Professional Modifier Low / Median / High Price $155.96 / $168.95 / $321.82	Professional		$155.96	$168.95	$321.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.10 / $181.10 / $221.34	Professional		$181.10	$181.10	$221.34