Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.65 / $225.65 / $225.65	Facility		$225.65	$225.65	$225.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $225.65 / $258.01	Professional		$20.10	$225.65	$258.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Professional		$200.00	$200.00	$200.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $267.37 / $1,173.52 / $1,173.52	Facility		$267.37	$1,173.52	$1,173.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $423.16 / $1,831.05	Professional		$200.00	$423.16	$1,831.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $182.29 / $182.29	Professional		$182.29	$182.29	$182.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $59.96 / $275.77 / $483.63	Facility		$59.96	$275.77	$483.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.96 / $291.77 / $483.63	Professional		$59.96	$291.77	$483.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $24.40 / $48.80	Professional		$16.27	$24.40	$48.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $159.47 / $193.72 / $197.98	Facility		$159.47	$193.72	$197.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.54 / $240.54 / $287.45	Facility		$240.54	$240.54	$287.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.68 / $439.59 / $589.55	Professional		$288.68	$439.59	$589.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $258.72 / $375.51 / $565.66	Professional		$258.72	$375.51	$565.66
United Facility/Professional Professional Modifier Low / Median / High Price $205.39 / $355.33 / $672.35	Professional		$205.39	$355.33	$672.35