Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.39 / $1,253.89 / $14,464.32	Facility		$583.39	$1,253.89	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.68 / $434.58 / $920.49	Professional		$264.68	$434.58	$920.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $574.15 / $574.15 / $574.15	Professional		$574.15	$574.15	$574.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,473.76 / $4,594.55 / $11,887.47	Facility		$1,473.76	$4,594.55	$11,887.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $556.99 / $977.23 / $3,452.96	Professional		$556.99	$977.23	$3,452.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,007.00 / $1,007.00 / $1,677.65	Facility		$1,007.00	$1,007.00	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.93 / $821.26 / $1,426.65	Professional		$477.93	$821.26	$1,426.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $445.25 / $780.27 / $1,471.24	Facility		$445.25	$780.27	$1,471.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $446.09 / $758.70 / $1,232.97	Professional		$446.09	$758.70	$1,232.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $260.30 / $961.27	Professional		$38.97	$260.30	$961.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.66 / $878.36 / $955.42	Facility		$537.66	$878.36	$955.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $625.69 / $641.90 / $648.03	Facility		$625.69	$641.90	$648.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.99 / $813.87 / $1,199.83	Professional		$556.99	$813.87	$1,199.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,352.57 / $4,591.92 / $8,788.86	Facility		$3,352.57	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $507.27 / $736.85 / $1,097.53	Professional		$507.27	$736.85	$1,097.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $568.67 / $1,077.36 / $1,368.11	Professional		$568.67	$1,077.36	$1,368.11