Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.05 / $928.30 / $14,464.32	Facility		$430.05	$928.30	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.66 / $302.68 / $674.01	Professional		$198.66	$302.68	$674.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.84 / $143.26 / $143.26	Professional		$125.84	$143.26	$143.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $487.16 / $1,779.82 / $3,936.16	Facility		$487.16	$1,779.82	$3,936.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $325.05 / $692.72 / $2,637.84	Professional		$325.05	$692.72	$2,637.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.44 / $777.59 / $906.00	Facility		$511.44	$777.59	$906.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.29 / $500.75 / $945.69	Professional		$295.29	$500.75	$945.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $329.00 / $530.83 / $827.50	Facility		$329.00	$530.83	$827.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.92 / $535.29 / $897.40	Professional		$337.92	$535.29	$897.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.96 / $285.80 / $784.55	Professional		$34.96	$285.80	$784.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $387.60 / $641.59 / $714.22	Facility		$387.60	$641.59	$714.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.51 / $481.99 / $487.16	Facility		$236.51	$481.99	$487.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.36 / $551.59 / $892.99	Professional		$327.36	$551.59	$892.99
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 $315.08 / $491.57 / $825.08	Professional		$315.08	$491.57	$825.08
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $555.05 / $5,793.00	Facility		$140.00	$555.05	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $414.71 / $527.28 / $1,018.57	Professional		$414.71	$527.28	$1,018.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $250.24 / $250.24 / $393.88	Professional		$250.24	$250.24	$393.88