Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.49 / $641.25 / $669.50	Facility		$282.49	$641.25	$669.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.38 / $282.49 / $669.50	Professional		$264.38	$282.49	$669.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $326.02 / $326.02 / $333.24	Professional		$326.02	$326.02	$333.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $380.64 / $869.40 / $2,291.37	Facility		$380.64	$869.40	$2,291.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $317.33 / $380.42 / $2,886.41	Professional		$317.33	$380.42	$2,886.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.20 / $281.20 / $281.20	Facility		$281.20	$281.20	$281.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $205.28 / $281.20	Professional		$205.28	$205.28	$281.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $273.45 / $462.16 / $1,191.18	Facility		$273.45	$462.16	$1,191.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.75 / $465.77 / $922.66	Professional		$273.75	$465.77	$922.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $299.91 / $333.24 / $366.56	Professional		$299.91	$333.24	$366.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $345.06 / $424.51 / $579.60	Facility		$345.06	$424.51	$579.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $391.23 / $434.70 / $579.60	Professional		$391.23	$434.70	$579.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.64 / $488.19 / $849.02	Facility		$380.64	$488.19	$849.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $413.75 / $424.51 / $424.51	Facility		$413.75	$424.51	$424.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $345.33 / $369.50 / $478.17	Professional		$345.33	$369.50	$478.17
United Facility/Professional Professional Modifier Low / Median / High Price $216.86 / $325.30 / $413.75	Professional		$216.86	$325.30	$413.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.71 / $94.71 / $264.67	Professional		$94.71	$94.71	$264.67