Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.14 / $469.98 / $815.61	Facility		$344.14	$469.98	$815.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.04 / $344.14 / $815.61	Professional		$294.04	$344.14	$815.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $397.17 / $397.17 / $397.17	Professional		$397.17	$397.17	$397.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $463.70 / $1,008.44 / $2,506.23	Facility		$463.70	$1,008.44	$2,506.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $370.69 / $455.42 / $3,227.30	Professional		$370.69	$455.42	$3,227.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.54 / $305.54 / $305.54	Facility		$305.54	$305.54	$305.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.04 / $223.04 / $305.54	Professional		$223.04	$223.04	$305.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $307.58 / $529.55 / $1,399.68	Facility		$307.58	$529.55	$1,399.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $307.91 / $540.15 / $1,037.68	Professional		$307.91	$540.15	$1,037.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $365.37 / $405.97 / $446.56	Professional		$365.37	$405.97	$446.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $420.35 / $517.15 / $588.07	Facility		$420.35	$517.15	$588.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $476.60 / $529.55 / $588.07	Professional		$476.60	$529.55	$588.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $463.70 / $594.72 / $1,034.30	Facility		$463.70	$594.72	$1,034.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $504.04 / $517.15 / $517.15	Facility		$504.04	$517.15	$517.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $420.69 / $450.13 / $582.52	Professional		$420.69	$450.13	$582.52
United Facility/Professional Facility Modifier Low / Median / High Price $244.40 / $244.40 / $244.40	Facility		$244.40	$244.40	$244.40
United Facility/Professional Professional Modifier Low / Median / High Price $243.95 / $365.92 / $465.42	Professional		$243.95	$365.92	$465.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $244.59 / $244.59 / $296.30	Professional		$244.59	$244.59	$296.30