Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.19 / $819.90 / $856.02	Facility		$361.19	$819.90	$856.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.68 / $361.19 / $583.37	Professional		$315.68	$361.19	$583.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $550.00 / $642.24 / $659.00	Professional		$550.00	$642.24	$659.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $468.65 / $914.66 / $2,563.00	Facility		$468.65	$914.66	$2,563.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $356.72 / $477.67 / $2,760.81	Professional		$356.72	$477.67	$2,760.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.73 / $375.73 / $383.66	Facility		$375.73	$375.73	$383.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $274.27 / $383.66	Professional		$274.27	$274.27	$383.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $389.36 / $728.48 / $1,403.43	Facility		$389.36	$728.48	$1,403.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $389.36 / $639.54 / $1,051.64	Professional		$389.36	$639.54	$1,051.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $453.93 / $504.37 / $568.11	Professional		$453.93	$504.37	$568.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $522.66 / $535.20 / $554.38	Facility		$522.66	$535.20	$554.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $444.26 / $468.65 / $1,019.19	Facility		$444.26	$468.65	$1,019.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.26 / $483.95 / $601.05	Professional		$444.26	$483.95	$601.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $509.42 / $522.66 / $522.66	Facility		$509.42	$522.66	$522.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $427.62 / $454.92 / $588.72	Professional		$427.62	$454.92	$588.72
United Facility/Professional Professional Modifier Low / Median / High Price $236.77 / $256.50 / $466.26	Professional		$236.77	$256.50	$466.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $403.07 / $403.07 / $454.92	Professional		$403.07	$403.07	$454.92