Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.29 / $1,128.35 / $14,464.32	Facility		$458.29	$1,128.35	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.42 / $369.62 / $725.00	Professional		$213.42	$369.62	$725.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $220.18 / $319.47 / $814.22	Professional		$220.18	$319.47	$814.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $544.29 / $1,779.82 / $3,936.16	Facility		$544.29	$1,779.82	$3,936.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $348.00 / $759.86 / $2,948.08	Professional		$348.00	$759.86	$2,948.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.44 / $777.59 / $1,110.00	Facility		$511.44	$777.59	$1,110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.50 / $538.72 / $1,057.45	Professional		$314.50	$538.72	$1,057.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $363.36 / $572.40 / $964.82	Facility		$363.36	$572.40	$964.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $368.28 / $601.13 / $964.82	Professional		$368.28	$601.13	$964.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.38 / $395.01 / $881.99	Professional		$45.38	$395.01	$881.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $424.16 / $700.20 / $797.97	Facility		$424.16	$700.20	$797.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.51 / $539.07 / $544.29	Facility		$236.51	$539.07	$544.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.00 / $609.95 / $997.70	Professional		$348.00	$609.95	$997.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,154.13 / $1,778.80 / $3,404.60	Facility		$1,154.13	$1,778.80	$3,404.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $334.95 / $549.78 / $921.83	Professional		$334.95	$549.78	$921.83
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $479.22 / $621.84 / $1,135.24	Professional		$479.22	$621.84	$1,135.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $266.88 / $266.88 / $440.12	Professional		$266.88	$266.88	$440.12