Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $774.99 / $8,248.90 / $15,502.80	Facility		$774.99	$8,248.90	$15,502.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.08 / $711.71 / $2,325.41	Professional		$389.08	$711.71	$2,325.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $385.11 / $666.14 / $996.44	Professional		$385.11	$666.14	$996.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,965.02 / $8,047.87 / $15,720.23	Facility		$2,965.02	$8,047.87	$15,720.23
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $108.20 / $193.77 / $193.77	Facility	AS	$108.20	$193.77	$193.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $709.06 / $1,181.93 / $4,446.96	Professional		$709.06	$1,181.93	$4,446.96
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 $510.39 / $924.32 / $1,717.94	Professional		$510.39	$924.32	$1,717.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $517.41 / $970.47 / $2,139.23	Facility		$517.41	$970.47	$2,139.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $517.41 / $947.50 / $1,767.51	Professional		$517.41	$947.50	$1,767.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $326.72 / $1,219.51	Professional		$77.42	$326.72	$1,219.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.12 / $1,156.73 / $1,222.64	Facility		$707.12	$1,156.73	$1,222.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.78 / $814.49 / $2,218.36	Facility		$738.78	$814.49	$2,218.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $703.26 / $1,040.78 / $1,506.13	Professional		$703.26	$1,040.78	$1,506.13
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 $669.56 / $987.45 / $1,477.51	Professional		$669.56	$987.45	$1,477.51
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 $711.50 / $967.45 / $1,744.65	Professional		$711.50	$967.45	$1,744.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $458.77 / $497.47 / $664.77	Professional		$458.77	$497.47	$664.77