Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.04 / $5,116.62 / $17,930.00	Facility		$178.04	$5,116.62	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.51 / $214.13 / $396.31	Professional		$138.51	$214.13	$396.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.89 / $136.28 / $256.20	Professional		$117.89	$136.28	$256.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,218.36 / $8,052.47 / $16,394.00	Facility		$2,218.36	$8,052.47	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $202.10 / $327.72 / $1,687.48	Professional		$202.10	$327.72	$1,687.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $2,846.84	Facility		$625.25	$761.81	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.83 / $280.80 / $457.08	Professional		$176.83	$280.80	$457.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $203.36 / $361.12 / $2,496.58	Facility		$203.36	$361.12	$2,496.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.92 / $333.67 / $2,149.79	Professional		$197.92	$333.67	$2,149.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $202.06 / $355.18	Professional		$35.72	$202.06	$355.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $229.90 / $280.06 / $408.07	Facility		$229.90	$280.06	$408.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.00 / $191.03 / $2,218.36	Facility		$188.00	$191.03	$2,218.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.71 / $303.89 / $379.17	Professional		$212.71	$303.89	$379.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $191.73 / $274.11 / $367.34	Professional		$191.73	$274.11	$367.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.82 / $290.68 / $405.43	Professional		$176.82	$290.68	$405.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $115.95 / $115.95 / $147.36	Professional		$115.95	$115.95	$147.36