Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.06 / $5,696.42 / $9,919.89	Facility		$404.06	$5,696.42	$9,919.89
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $41.10 / $96.80 / $377.96	Facility	53	$41.10	$96.80	$377.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.40 / $492.07 / $1,366.79	Professional		$160.40	$492.07	$1,366.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $967.52 / $967.52 / $967.52	Professional		$967.52	$967.52	$967.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $625.69 / $4,318.66 / $8,788.86	Facility		$625.69	$4,318.66	$8,788.86
Asuris Northwest Health Facility/Professional Facility Modifier 53 Low / Median / High Price $82.96 / $145.93 / $145.93	Facility	53	$82.96	$145.93	$145.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $290.42 / $931.21 / $3,676.00	Professional		$290.42	$931.21	$3,676.00
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 $257.91 / $529.13 / $1,535.31	Professional		$257.91	$529.13	$1,535.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $263.23 / $865.90 / $1,764.75	Facility		$263.23	$865.90	$1,764.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.18 / $817.43 / $1,676.49	Professional		$259.18	$817.43	$1,676.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $121.77 / $773.51 / $1,271.18	Professional		$121.77	$773.51	$1,271.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $327.63 / $957.37 / $1,315.88	Facility		$327.63	$957.37	$1,315.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $625.69 / $678.65 / $694.90	Facility		$625.69	$678.65	$694.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.27 / $532.60 / $1,324.13	Professional		$275.27	$532.60	$1,324.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,979.36 / $4,591.92 / $8,788.86	Facility		$2,979.36	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $259.56 / $602.40 / $1,153.09	Professional		$259.56	$602.40	$1,153.09
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $762.96 / $1,125.59 / $1,685.44	Professional		$762.96	$1,125.59	$1,685.44