Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.86 / $1,605.00 / $17,930.00	Facility		$249.86	$1,605.00	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.06 / $399.76 / $962.73	Professional		$202.06	$399.76	$962.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.78 / $190.78 / $3,795.00	Professional		$190.78	$190.78	$3,795.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,117.45 / $20,273.81 / $27,396.88	Facility		$1,117.45	$20,273.81	$27,396.88
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $45.64 / $82.05 / $82.05	Facility	AS	$45.64	$82.05	$82.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $321.14 / $739.07 / $2,984.33	Professional		$321.14	$739.07	$2,984.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $11,431.14	Facility		$714.97	$870.49	$11,431.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.87 / $496.39 / $1,085.54	Professional		$247.87	$496.39	$1,085.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $255.35 / $560.26 / $7,701.78	Facility		$255.35	$560.26	$7,701.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.35 / $530.69 / $4,959.39	Professional		$255.35	$530.69	$4,959.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.46 / $599.70 / $1,051.89	Professional		$105.46	$599.70	$1,051.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $393.82 / $744.43 / $811.37	Facility		$393.82	$744.43	$811.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $528.29 / $534.09 / $8,497.21	Facility		$528.29	$534.09	$8,497.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.43 / $528.29 / $979.36	Professional		$302.43	$528.29	$979.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $283.95 / $544.70 / $953.47	Professional		$283.95	$544.70	$953.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $3,492.00 / $12,835.00	Facility		$1,950.00	$3,492.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $488.70 / $689.04 / $1,134.45	Professional		$488.70	$689.04	$1,134.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.78 / $314.72 / $426.76	Professional		$190.78	$314.72	$426.76