Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.21 / $442.00 / $550.34	Facility		$232.21	$442.00	$550.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.37 / $232.21 / $550.34	Professional		$173.37	$232.21	$550.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.99 / $267.99 / $273.94	Professional		$267.99	$267.99	$273.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $312.89 / $776.68 / $1,951.09	Facility		$312.89	$776.68	$1,951.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $260.83 / $338.61 / $2,288.42	Professional		$260.83	$338.61	$2,288.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.98 / $232.98 / $232.98	Facility		$232.98	$232.98	$232.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $170.08 / $232.98	Professional		$170.08	$170.08	$232.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $217.94 / $371.27 / $979.19	Facility		$217.94	$371.27	$979.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.18 / $371.27 / $735.64	Professional		$218.18	$371.27	$735.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $246.54 / $273.94 / $301.33	Professional		$246.54	$273.94	$301.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $283.64 / $346.74 / $357.32	Facility		$283.64	$346.74	$357.32
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $283.64 / $357.32 / $393.05	Professional		$283.64	$357.32	$393.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.89 / $401.29 / $697.90	Facility		$312.89	$401.29	$697.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $340.11 / $348.95 / $348.95	Facility		$340.11	$348.95	$348.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $283.88 / $303.72 / $393.05	Professional		$283.88	$303.72	$393.05
United Facility/Professional Professional Modifier Low / Median / High Price $172.98 / $259.47 / $330.03	Professional		$172.98	$259.47	$330.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.10 / $130.10 / $210.73	Professional		$130.10	$130.10	$210.73