Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.88 / $472.00 / $587.48	Facility		$247.88	$472.00	$587.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.72 / $247.88 / $587.48	Professional		$190.72	$247.88	$587.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $286.07 / $286.07 / $292.39	Professional		$286.07	$286.07	$292.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $333.99 / $762.86 / $2,003.74	Facility		$333.99	$762.86	$2,003.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $275.58 / $331.84 / $2,517.42	Professional		$275.58	$331.84	$2,517.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.05 / $248.05 / $248.05	Facility		$248.05	$248.05	$248.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $181.08 / $248.05	Professional		$181.08	$181.08	$248.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $405.26 / $1,045.21	Facility		$239.78	$405.26	$1,045.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $240.04 / $408.39 / $810.12	Professional		$240.04	$408.39	$810.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $263.16 / $292.39 / $321.64	Professional		$263.16	$292.39	$321.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.76 / $372.49 / $381.43	Facility		$302.76	$372.49	$381.43
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $343.29 / $381.43 / $381.43	Professional		$343.29	$381.43	$381.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.99 / $428.36 / $744.98	Facility		$333.99	$428.36	$744.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $363.05 / $372.49 / $372.49	Facility		$363.05	$372.49	$372.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $303.01 / $324.22 / $419.57	Professional		$303.01	$324.22	$419.57
United Facility/Professional Professional Modifier Low / Median / High Price $190.30 / $286.64 / $363.05	Professional		$190.30	$286.64	$363.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.10 / $130.10 / $231.73	Professional		$130.10	$130.10	$231.73