Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.63 / $1,287.39 / $17,930.00	Facility		$457.63	$1,287.39	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.38 / $470.93 / $1,206.32	Professional		$227.38	$470.93	$1,206.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $491.12 / $491.12 / $491.12	Professional		$491.12	$491.12	$491.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,157.32 / $8,047.87 / $15,720.23	Facility		$1,157.32	$8,047.87	$15,720.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $439.48 / $887.50 / $3,421.84	Professional		$439.48	$887.50	$3,421.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,846.84	Facility		$714.97	$870.49	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.10 / $630.39 / $1,308.98	Professional		$316.10	$630.39	$1,308.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $314.72 / $624.27 / $2,136.38	Facility		$314.72	$624.27	$2,136.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $314.72 / $612.58 / $1,505.62	Professional		$314.72	$612.58	$1,505.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $520.37 / $1,121.44	Professional		$45.85	$520.37	$1,121.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $477.04 / $905.17 / $954.75	Facility		$477.04	$905.17	$954.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $634.65 / $637.52 / $2,218.36	Facility		$634.65	$637.52	$2,218.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.35 / $656.21 / $1,167.73	Professional		$414.35	$656.21	$1,167.73
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 $392.47 / $647.26 / $1,150.59	Professional		$392.47	$647.26	$1,150.59
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 $571.20 / $753.86 / $1,346.40	Professional		$571.20	$753.86	$1,346.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $270.35 / $385.94 / $523.71	Professional		$270.35	$385.94	$523.71