Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.85 / $1,091.71 / $11,522.02	Facility		$268.85	$1,091.71	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.54 / $374.98 / $955.22	Professional		$138.54	$374.98	$955.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $216.95 / $265.39 / $333.01	Professional		$216.95	$265.39	$333.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $683.92 / $4,591.92 / $11,500.00	Facility		$683.92	$4,591.92	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $244.95 / $654.27 / $2,792.57	Professional		$244.95	$654.27	$2,792.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,677.65	Facility		$466.83	$568.48	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.57 / $446.00 / $1,010.07	Professional		$187.57	$446.00	$1,010.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $190.04 / $477.49 / $1,266.88	Facility		$190.04	$477.49	$1,266.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.04 / $451.87 / $1,078.73	Professional		$190.04	$451.87	$1,078.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $284.12 / $754.44	Professional		$37.39	$284.12	$754.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $283.18 / $688.23 / $751.07	Facility		$283.18	$688.23	$751.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.84 / $488.08 / $1,323.75	Facility		$440.84	$488.08	$1,323.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $241.23 / $467.25 / $894.66	Professional		$241.23	$467.25	$894.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,264.85 / $4,591.92 / $8,788.86	Facility		$3,264.85	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $230.74 / $466.99 / $880.89	Professional		$230.74	$466.99	$880.89
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $451.93 / $610.73 / $1,040.61	Professional		$451.93	$610.73	$1,040.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $160.85 / $289.58 / $400.39	Professional		$160.85	$289.58	$400.39