Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.64 / $114.50 / $271.37	Facility		$78.64	$114.50	$271.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.16 / $114.50 / $271.37	Professional		$93.16	$114.50	$271.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $132.13 / $132.13	Professional		$132.13	$132.13	$132.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $154.28 / $357.58 / $862.15	Facility		$154.28	$357.58	$862.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $125.40 / $163.21 / $1,130.40	Professional		$125.40	$163.21	$1,130.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.25 / $113.25 / $113.25	Facility		$113.25	$113.25	$113.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.67 / $82.67 / $113.25	Professional		$82.67	$82.67	$113.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $100.55 / $176.19 / $457.50	Facility		$100.55	$176.19	$457.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.66 / $176.73 / $339.27	Professional		$100.66	$176.73	$339.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $135.07 / $148.57	Professional		$121.56	$135.07	$148.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $139.85 / $172.06 / $186.32	Facility		$139.85	$172.06	$186.32
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $176.19 / $186.32	Professional		$139.97	$176.19	$186.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.28 / $197.87 / $344.12	Facility		$154.28	$197.87	$344.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $167.70 / $172.06 / $172.06	Facility		$167.70	$172.06	$172.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $139.97 / $149.76 / $193.81	Professional		$139.97	$149.76	$193.81
United Facility/Professional Professional Modifier Low / Median / High Price $79.75 / $119.62 / $152.15	Professional		$79.75	$119.62	$152.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $149.76 / $182.14 / $182.14	Professional		$149.76	$182.14	$182.14