Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $260.26 / $588.52 / $908.71	Facility		$260.26	$588.52	$908.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.25 / $260.26 / $1,044.00	Professional		$219.25	$260.26	$1,044.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.60 / $309.60 / $309.60	Professional		$309.60	$309.60	$309.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $337.70 / $734.41 / $1,920.30	Facility		$337.70	$734.41	$1,920.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $280.64 / $348.73 / $2,544.30	Professional		$280.64	$348.73	$2,544.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.41 / $233.36 / $233.36	Facility		$145.41	$233.36	$233.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $170.35 / $307.47	Professional		$170.35	$170.35	$307.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $242.40 / $413.94 / $1,056.78	Facility		$242.40	$413.94	$1,056.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $256.06 / $420.59 / $774.54	Professional		$256.06	$420.59	$774.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $266.08 / $295.64 / $325.21	Professional		$266.08	$295.64	$325.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $306.13 / $376.62 / $402.30	Facility		$306.13	$376.62	$402.30
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $306.37 / $385.66 / $402.30	Professional		$306.37	$385.66	$402.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $320.13 / $337.70 / $734.41	Facility		$320.13	$337.70	$734.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.13 / $348.73 / $565.40	Professional		$320.13	$348.73	$565.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $367.08 / $376.62 / $376.62	Facility		$367.08	$376.62	$376.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $306.37 / $327.81 / $424.23	Professional		$306.37	$327.81	$424.23
United Facility/Professional Professional Modifier Low / Median / High Price $168.39 / $196.46 / $347.47	Professional		$168.39	$196.46	$347.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.12 / $186.12 / $327.81	Professional		$186.12	$186.12	$327.81