Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.16 / $241.07 / $637.14	Facility		$159.16	$241.07	$637.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.38 / $234.90 / $741.00	Professional		$154.38	$234.90	$741.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $175.00 / $175.00	Professional		$175.00	$175.00	$175.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $364.20 / $893.57 / $1,620.96	Facility		$364.20	$893.57	$1,620.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $189.42 / $353.53 / $2,058.80	Professional		$189.42	$353.53	$2,058.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.69 / $194.92 / $194.92	Facility		$184.69	$194.92	$194.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $142.29 / $194.92	Professional		$142.29	$142.29	$194.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $196.10 / $395.12 / $892.50	Facility		$196.10	$395.12	$892.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.32 / $395.12 / $662.00	Professional		$196.32	$395.12	$662.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $286.96 / $318.85 / $350.73	Professional		$286.96	$318.85	$350.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $328.73 / $370.28 / $415.92	Facility		$328.73	$370.28	$415.92
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $336.62 / $415.92 / $436.72	Professional		$336.62	$415.92	$436.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $364.20 / $467.10 / $812.34	Facility		$364.20	$467.10	$812.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $395.88 / $406.17 / $406.17	Facility		$395.88	$406.17	$406.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $330.41 / $353.53 / $457.51	Professional		$330.41	$353.53	$457.51
United Facility/Professional Professional Modifier Low / Median / High Price $143.88 / $155.88 / $296.91	Professional		$143.88	$155.88	$296.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.42 / $198.27 / $198.27	Professional		$189.42	$198.27	$198.27