Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.08 / $222.64 / $232.45	Facility		$98.08	$222.64	$232.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $98.08 / $232.45	Professional		$78.17	$98.08	$232.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.19 / $113.19 / $115.69	Professional		$113.19	$113.19	$115.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $132.15 / $287.39 / $720.06	Facility		$132.15	$287.39	$720.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $107.47 / $132.07 / $778.52	Professional		$107.47	$132.07	$778.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.03 / $100.03 / $100.03	Facility		$100.03	$100.03	$100.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $73.02 / $100.03	Professional		$73.02	$73.02	$100.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $91.68 / $156.56 / $413.54	Facility		$91.68	$156.56	$413.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $158.87 / $292.93	Professional		$96.72	$158.87	$292.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.12 / $115.69 / $127.25	Professional		$104.12	$115.69	$127.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $119.79 / $147.38 / $156.33	Facility		$119.79	$147.38	$156.33
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $119.79 / $150.91 / $156.33	Professional		$119.79	$150.91	$156.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.15 / $169.49 / $294.76	Facility		$132.15	$169.49	$294.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $143.65 / $147.38 / $147.38	Facility		$143.65	$147.38	$147.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $119.89 / $128.28 / $166.01	Professional		$119.89	$128.28	$166.01
United Facility/Professional Professional Modifier Low / Median / High Price $68.92 / $103.83 / $131.47	Professional		$68.92	$103.83	$131.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.92 / $48.92 / $92.90	Professional		$48.92	$48.92	$92.90