Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,210.58 / $2,684.02 / $14,464.32	Facility		$1,210.58	$2,684.02	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $686.39 / $975.71 / $2,059.66	Professional		$686.39	$975.71	$2,059.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $805.33 / $1,539.16 / $1,539.16	Professional		$805.33	$1,539.16	$1,539.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,271.36 / $5,359.68 / $11,429.12	Facility		$1,271.36	$5,359.68	$11,429.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,063.44 / $1,953.63 / $6,899.60	Professional		$1,063.44	$1,953.63	$6,899.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $2,323.83	Facility		$644.92	$1,110.00	$2,323.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $935.25 / $1,440.58 / $2,575.80	Professional		$935.25	$1,440.58	$2,575.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,034.34 / $1,560.73 / $2,350.83	Facility		$1,034.34	$1,560.73	$2,350.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,083.00 / $1,578.64 / $2,376.98	Professional		$1,083.00	$1,578.64	$2,376.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.23 / $473.95 / $1,865.53	Professional		$108.23	$473.95	$1,865.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,172.35 / $1,689.26 / $1,863.94	Facility		$1,172.35	$1,689.26	$1,863.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.83 / $1,226.72 / $1,271.36	Facility		$759.83	$1,226.72	$1,271.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,073.48 / $1,774.92 / $2,330.48	Professional		$1,073.48	$1,774.92	$2,330.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,351.17 / $5,167.93 / $9,885.68	Facility		$3,351.17	$5,167.93	$9,885.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,026.09 / $1,485.70 / $2,225.75	Professional		$1,026.09	$1,485.70	$2,225.75
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,120.00 / $6,857.00	Facility		$629.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,133.91 / $1,371.24 / $2,619.15	Professional		$1,133.91	$1,371.24	$2,619.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $831.98 / $831.98 / $1,026.14	Professional		$831.98	$831.98	$1,026.14