Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.77 / $2,323.00 / $12,214.00	Facility		$152.77	$2,323.00	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $117.23 / $305.39	Professional		$69.45	$117.23	$305.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.88 / $263.88 / $263.88	Professional		$263.88	$263.88	$263.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $216.29 / $4,492.60 / $9,102.00	Facility		$216.29	$4,492.60	$9,102.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $116.56 / $247.95 / $947.68	Professional		$116.56	$247.95	$947.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.54 / $421.10 / $731.00	Facility		$133.54	$421.10	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.93 / $176.33 / $340.15	Professional		$103.93	$176.33	$340.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $104.85 / $178.08 / $313.75	Facility		$104.85	$178.08	$313.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.14 / $186.20 / $309.80	Professional		$111.14	$186.20	$309.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $174.43 / $324.46	Professional		$31.89	$174.43	$324.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $123.62 / $171.57 / $249.24	Facility		$123.62	$171.57	$249.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.68 / $172.59 / $174.57	Facility		$78.68	$172.59	$174.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.56 / $197.44 / $320.00	Professional		$116.56	$197.44	$320.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,979.36 / $4,591.92 / $8,788.86	Facility		$2,979.36	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $111.34 / $176.02 / $295.67	Professional		$111.34	$176.02	$295.67
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $887.00 / $4,611.00	Facility		$350.00	$887.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $187.20 / $369.79	Professional		$147.60	$187.20	$369.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.73 / $91.73 / $142.63	Professional		$91.73	$91.73	$142.63