Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.27 / $606.70 / $633.42	Facility		$267.27	$606.70	$633.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.61 / $250.69 / $429.86	Professional		$197.61	$250.69	$429.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $325.00 / $622.77 / $622.77	Professional		$325.00	$622.77	$622.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $346.79 / $770.26 / $2,002.53	Facility		$346.79	$770.26	$2,002.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $289.11 / $387.40 / $2,428.42	Professional		$289.11	$387.40	$2,428.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.12 / $237.10 / $237.10	Facility		$225.12	$237.10	$237.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $173.08 / $237.10	Professional		$173.08	$173.08	$237.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $238.87 / $406.71 / $1,085.22	Facility		$238.87	$406.71	$1,085.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.13 / $406.71 / $805.15	Professional		$239.13	$406.71	$805.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $273.24 / $303.61 / $333.97	Professional		$273.24	$303.61	$333.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $314.36 / $386.76 / $436.00	Facility		$314.36	$386.76	$436.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $356.44 / $396.04 / $436.00	Professional		$356.44	$396.04	$436.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.79 / $444.77 / $773.52	Facility		$346.79	$444.77	$773.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $376.96 / $386.76 / $386.76	Facility		$376.96	$386.76	$386.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $314.62 / $336.63 / $435.64	Professional		$314.62	$336.63	$435.64
United Facility/Professional Professional Modifier Low / Median / High Price $175.03 / $204.20 / $361.16	Professional		$175.03	$204.20	$361.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $262.27 / $262.27 / $336.63	Professional		$262.27	$262.27	$336.63