Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,305.43 / $2,627.00 / $16,398.00	Facility		$1,305.43	$2,627.00	$16,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $779.22 / $1,048.33 / $1,980.51	Professional		$779.22	$1,048.33	$1,980.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $902.53 / $902.53 / $902.53	Professional		$902.53	$902.53	$902.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,372.37 / $5,367.06 / $11,429.12	Facility		$1,372.37	$5,367.06	$11,429.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,144.32 / $2,124.30 / $7,444.08	Professional		$1,144.32	$2,124.30	$7,444.08
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 $1,007.75 / $1,547.48 / $2,768.30	Professional		$1,007.75	$1,547.48	$2,768.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,102.99 / $1,665.07 / $2,517.17	Facility		$1,102.99	$1,665.07	$2,517.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,159.50 / $1,686.96 / $2,546.40	Professional		$1,159.50	$1,686.96	$2,546.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $110.12 / $473.95 / $1,947.58	Professional		$110.12	$473.95	$1,947.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,348.62 / $1,847.95 / $2,012.01	Facility		$1,348.62	$1,847.95	$2,012.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.83 / $1,321.40 / $1,372.37	Facility		$759.83	$1,321.40	$1,372.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,152.91 / $1,913.32 / $2,515.61	Professional		$1,152.91	$1,913.32	$2,515.61
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 $1,101.41 / $1,595.63 / $2,397.71	Professional		$1,101.41	$1,595.63	$2,397.71
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 $1,247.83 / $1,431.09 / $2,869.47	Professional		$1,247.83	$1,431.09	$2,869.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $892.93 / $892.93 / $1,108.01	Professional		$892.93	$892.93	$1,108.01