Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.62 / $617.95 / $12,214.00	Facility		$302.62	$617.95	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.67 / $210.00 / $423.67	Professional		$102.67	$210.00	$423.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.25 / $91.25 / $464.00	Professional		$91.25	$91.25	$464.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $737.69 / $4,492.60 / $10,161.06	Facility		$737.69	$4,492.60	$10,161.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $231.36 / $450.83 / $1,665.36	Professional		$231.36	$450.83	$1,665.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.10 / $731.00 / $1,677.65	Facility		$421.10	$731.00	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.17 / $325.52 / $598.45	Professional		$206.17	$325.52	$598.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $211.11 / $344.10 / $1,130.32	Facility		$211.11	$344.10	$1,130.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $365.12 / $861.22	Professional		$224.00	$365.12	$861.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.65 / $279.63 / $494.90	Professional		$49.65	$279.63	$494.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $307.80 / $697.24 / $1,267.71	Facility		$307.80	$697.24	$1,267.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.51 / $309.39 / $737.69	Facility		$303.51	$309.39	$737.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.59 / $389.51 / $567.12	Professional		$233.59	$389.51	$567.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,264.85 / $4,591.92 / $8,788.86	Facility		$3,264.85	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $222.68 / $326.72 / $529.62	Professional		$222.68	$326.72	$529.62
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,120.00 / $6,857.00	Facility		$629.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $259.94 / $329.68 / $640.29	Professional		$259.94	$329.68	$640.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $182.14 / $182.14 / $250.81	Professional		$182.14	$182.14	$250.81