Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.73 / $550.94 / $18,711.00	Facility		$288.73	$550.94	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $231.88 / $508.20	Professional		$140.69	$231.88	$508.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.99 / $154.99 / $154.99	Professional		$154.99	$154.99	$154.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,182.90 / $9,172.83 / $20,286.13	Facility		$1,182.90	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $268.83 / $451.78 / $1,725.44	Professional		$268.83	$451.78	$1,725.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.96 / $354.14 / $666.61	Professional		$189.96	$354.14	$666.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $187.86 / $348.21 / $2,806.97	Facility		$187.86	$348.21	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.86 / $344.82 / $1,622.78	Professional		$187.86	$344.82	$1,622.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.61 / $304.18 / $536.82	Professional		$54.61	$304.18	$536.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $276.17 / $397.12 / $469.67	Facility		$276.17	$397.12	$469.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.33 / $320.36 / $2,961.46	Facility		$300.33	$320.36	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.31 / $404.70 / $562.62	Professional		$271.31	$404.70	$562.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $256.17 / $366.18 / $532.46	Professional		$256.17	$366.18	$532.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $249.27 / $334.39 / $619.95	Professional		$249.27	$334.39	$619.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $185.27 / $195.45 / $261.83	Professional		$185.27	$195.45	$261.83