Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.32 / $1,579.90 / $14,464.32	Facility		$393.32	$1,579.90	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.06 / $285.47 / $559.62	Professional		$172.06	$285.47	$559.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.74 / $126.74 / $126.74	Professional		$126.74	$126.74	$126.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $427.30 / $1,993.85 / $4,409.49	Facility		$427.30	$1,993.85	$4,409.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $298.08 / $603.38 / $2,312.64	Professional		$298.08	$603.38	$2,312.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $894.39 / $906.00	Facility		$564.00	$894.39	$906.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.55 / $442.16 / $827.09	Professional		$270.55	$442.16	$827.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $297.50 / $476.33 / $805.19	Facility		$297.50	$476.33	$805.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.42 / $486.83 / $818.10	Professional		$304.42	$486.83	$818.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $254.62 / $698.94	Professional		$34.96	$254.62	$698.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $425.88 / $567.89 / $672.38	Facility		$425.88	$567.89	$672.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $277.52 / $417.21 / $427.30	Facility		$277.52	$417.21	$427.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.45 / $501.37 / $783.25	Professional		$298.45	$501.37	$783.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,454.88 / $1,992.71 / $3,814.01	Facility		$1,454.88	$1,992.71	$3,814.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $286.89 / $425.50 / $723.69	Professional		$286.89	$425.50	$723.69
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 $372.50 / $477.84 / $899.85	Professional		$372.50	$477.84	$899.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.70 / $229.70 / $345.72	Professional		$229.70	$229.70	$345.72