Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.93 / $2,070.00 / $12,214.00	Facility		$313.93	$2,070.00	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.40 / $218.26 / $465.72	Professional		$135.40	$218.26	$465.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.67 / $194.67 / $194.67	Professional		$194.67	$194.67	$194.67
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 $250.08 / $490.50 / $1,771.36	Professional		$250.08	$490.50	$1,771.36
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 $222.94 / $348.44 / $634.02	Professional		$222.94	$348.44	$634.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $231.30 / $383.52 / $1,130.32	Facility		$231.30	$383.52	$1,130.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.00 / $393.36 / $861.22	Professional		$248.00	$393.36	$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 $330.41 / $737.64 / $1,267.71	Facility		$330.41	$737.64	$1,267.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.64 / $328.13 / $737.69	Facility		$316.64	$328.13	$737.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.62 / $422.04 / $601.47	Professional		$256.62	$422.04	$601.47
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 $240.70 / $355.16 / $572.47	Professional		$240.70	$355.16	$572.47
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 $280.99 / $348.92 / $682.60	Professional		$280.99	$348.92	$682.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.40 / $199.40 / $265.30	Professional		$199.40	$199.40	$265.30