Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.02 / $3,497.27 / $9,736.78	Facility		$348.02	$3,497.27	$9,736.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $316.39 / $708.76	Professional		$200.71	$316.39	$708.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $564.27 / $564.27 / $564.27	Professional		$564.27	$564.27	$564.27
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 $350.88 / $661.73 / $2,360.71	Professional		$350.88	$661.73	$2,360.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $906.00 / $1,677.65	Facility		$564.00	$906.00	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.92 / $471.16 / $846.44	Professional		$310.92	$471.16	$846.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $318.14 / $515.77 / $1,130.32	Facility		$318.14	$515.77	$1,130.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.50 / $538.55 / $1,010.76	Professional		$337.50	$538.55	$1,010.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $335.67 / $744.16	Professional		$45.48	$335.67	$744.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $445.85 / $737.64 / $1,267.71	Facility		$445.85	$737.64	$1,267.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $430.80 / $440.09 / $737.69	Facility		$430.80	$440.09	$737.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.03 / $584.99 / $806.71	Professional		$352.03	$584.99	$806.71
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 $337.72 / $492.39 / $780.50	Professional		$337.72	$492.39	$780.50
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 $361.50 / $448.44 / $907.24	Professional		$361.50	$448.44	$907.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $270.19 / $270.19 / $352.67	Professional		$270.19	$270.19	$352.67