Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.06 / $2,846.93 / $12,214.00	Facility		$443.06	$2,846.93	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.20 / $349.30 / $763.33	Professional		$235.20	$349.30	$763.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.77 / $269.77 / $269.77	Professional		$269.77	$269.77	$269.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,241.82 / $7,873.79 / $15,720.23	Facility		$1,241.82	$7,873.79	$15,720.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $379.14 / $701.30 / $2,439.92	Professional		$379.14	$701.30	$2,439.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $906.00 / $2,846.84	Facility		$564.00	$906.00	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.34 / $505.49 / $903.47	Professional		$332.34	$505.49	$903.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $355.05 / $576.57 / $1,918.07	Facility		$355.05	$576.57	$1,918.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $377.00 / $583.86 / $1,461.44	Professional		$377.00	$583.86	$1,461.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $263.26 / $726.51	Professional		$35.67	$263.26	$726.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $464.03 / $675.92 / $2,163.42	Facility		$464.03	$675.92	$2,163.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $449.38 / $451.97 / $1,241.82	Facility		$449.38	$451.97	$1,241.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $630.98 / $836.35	Professional		$384.00	$630.98	$836.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $369.60 / $529.86 / $821.70	Professional		$369.60	$529.86	$821.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,232.00 / $1,981.00 / $10,522.00	Facility		$1,232.00	$1,981.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.50 / $542.29 / $1,004.35	Professional		$403.50	$542.29	$1,004.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $291.39 / $291.39 / $361.64	Professional		$291.39	$291.39	$361.64