Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.82 / $276.69 / $680.00	Facility		$26.82	$276.69	$680.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $160.54 / $575.00	Professional		$72.00	$160.54	$575.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.72 / $200.72 / $266.00	Professional		$200.72	$200.72	$266.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $234.34 / $556.61 / $1,281.52	Facility		$234.34	$556.61	$1,281.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $190.57 / $234.20 / $1,380.26	Professional		$190.57	$234.20	$1,380.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.56 / $135.00 / $135.00	Facility		$97.56	$135.00	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $98.55 / $173.55	Professional		$98.55	$98.55	$173.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $154.24 / $267.62 / $701.25	Facility		$154.24	$267.62	$701.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.41 / $271.08 / $519.66	Professional		$154.41	$271.08	$519.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $226.98 / $252.20 / $284.07	Professional		$226.98	$252.20	$284.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $212.44 / $261.35 / $277.16	Facility		$212.44	$261.35	$277.16
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $227.48 / $267.62 / $277.16	Professional		$227.48	$267.62	$277.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.34 / $300.55 / $522.70	Facility		$234.34	$300.55	$522.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $254.73 / $261.35 / $261.35	Facility		$254.73	$261.35	$261.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $212.60 / $227.48 / $294.38	Professional		$212.60	$227.48	$294.38
United Facility/Professional Professional Modifier Low / Median / High Price $112.98 / $133.51 / $233.14	Professional		$112.98	$133.51	$233.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $148.53 / $227.48 / $227.48	Professional		$148.53	$227.48	$227.48