Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.24 / $1,008.67 / $13,750.00	Facility		$346.24	$1,008.67	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.97 / $440.50 / $1,057.51	Professional		$184.97	$440.50	$1,057.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $294.18 / $369.85 / $757.11	Professional		$294.18	$369.85	$757.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $567.14 / $1,070.69	Facility		$55.00	$567.14	$1,070.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $268.91 / $759.37 / $3,074.80	Professional		$268.91	$759.37	$3,074.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.10 / $731.00 / $731.00	Facility		$421.10	$731.00	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.47 / $495.10 / $1,104.64	Professional		$247.47	$495.10	$1,104.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $278.50 / $481.39 / $948.25	Facility		$278.50	$481.39	$948.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $278.68 / $508.92 / $1,002.23	Professional		$278.68	$508.92	$1,002.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.57 / $600.72 / $1,069.48	Professional		$108.57	$600.72	$1,069.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $724.81 / $831.47	Facility		$420.00	$724.81	$831.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $548.58 / $548.58 / $567.14	Facility		$548.58	$548.58	$567.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.39 / $540.37 / $1,028.54	Professional		$265.39	$540.37	$1,028.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $849.85 / $849.85 / $1,070.69	Facility		$849.85	$849.85	$1,070.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $254.10 / $484.96 / $960.53	Professional		$254.10	$484.96	$960.53
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 $485.90 / $569.40 / $1,191.43	Professional		$485.90	$569.40	$1,191.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.92 / $199.92 / $464.32	Professional		$199.92	$199.92	$464.32