Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.38 / $1,097.40 / $12,214.00	Facility		$491.38	$1,097.40	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.60 / $332.38 / $716.70	Professional		$166.60	$332.38	$716.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $156.97 / $156.97 / $156.97	Professional		$156.97	$156.97	$156.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $532.41 / $1,173.53 / $2,499.04	Facility		$532.41	$1,173.53	$2,499.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $338.88 / $743.27 / $2,884.32	Professional		$338.88	$743.27	$2,884.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $564.00 / $906.00	Facility		$334.00	$564.00	$906.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.18 / $523.07 / $1,032.48	Professional		$307.18	$523.07	$1,032.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $324.00 / $541.97 / $910.25	Facility		$324.00	$541.97	$910.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $341.00 / $556.32 / $938.00	Professional		$341.00	$556.32	$938.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.38 / $387.01 / $849.66	Professional		$45.38	$387.01	$849.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $349.52 / $636.32 / $780.55	Facility		$349.52	$636.32	$780.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.57 / $525.03 / $532.41	Facility		$150.57	$525.03	$532.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.16 / $594.03 / $975.92	Professional		$339.16	$594.03	$975.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $732.75 / $1,129.34 / $2,161.55	Facility		$732.75	$1,129.34	$2,161.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $326.17 / $535.46 / $901.71	Professional		$326.17	$535.46	$901.71
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 $455.51 / $641.61 / $1,126.73	Professional		$455.51	$641.61	$1,126.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $260.24 / $260.24 / $429.92	Professional		$260.24	$260.24	$429.92