Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.41 / $1,132.11 / $13,409.00	Facility		$472.41	$1,132.11	$13,409.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.80 / $400.70 / $959.72	Professional		$206.80	$400.70	$959.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $252.69 / $343.41 / $426.13	Professional		$252.69	$343.41	$426.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $583.13 / $1,802.64 / $3,936.16	Facility		$583.13	$1,802.64	$3,936.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $360.96 / $811.79 / $3,161.36	Professional		$360.96	$811.79	$3,161.36
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 $327.37 / $572.40 / $1,131.79	Professional		$327.37	$572.40	$1,131.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $380.64 / $617.28 / $1,008.72	Facility		$380.64	$617.28	$1,008.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $383.13 / $636.34 / $1,029.05	Professional		$383.13	$636.34	$1,029.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $428.54 / $931.95	Professional		$45.48	$428.54	$931.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $477.18 / $724.47 / $854.92	Facility		$477.18	$724.47	$854.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.51 / $575.76 / $583.13	Facility		$236.51	$575.76	$583.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.96 / $631.89 / $1,068.91	Professional		$360.96	$631.89	$1,068.91
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 $346.50 / $587.20 / $987.62	Professional		$346.50	$587.20	$987.62
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 $514.08 / $636.49 / $1,233.91	Professional		$514.08	$636.49	$1,233.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $277.12 / $277.12 / $470.88	Professional		$277.12	$277.12	$470.88