Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.80 / $7,863.94 / $20,680.40	Facility		$593.80	$7,863.94	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.19 / $593.80 / $1,270.08	Professional		$457.19	$593.80	$1,270.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,312.15 / $2,312.15 / $2,312.15	Professional		$2,312.15	$2,312.15	$2,312.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,238.26 / $9,101.25 / $17,812.14	Facility		$5,238.26	$9,101.25	$17,812.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $642.91 / $1,032.88 / $3,883.28	Professional		$642.91	$1,032.88	$3,883.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $3,302.92	Facility		$883.20	$1,075.31	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.04 / $855.65 / $1,379.40	Professional		$491.04	$855.65	$1,379.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $495.46 / $1,022.97 / $2,896.56	Facility		$495.46	$1,022.97	$2,896.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $464.59 / $990.03 / $2,494.19	Professional		$464.59	$990.03	$2,494.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $268.21 / $877.89	Professional		$39.46	$268.21	$877.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $657.47 / $876.68 / $909.19	Facility		$657.47	$876.68	$909.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.49 / $614.66 / $2,412.73	Facility		$602.49	$614.66	$2,412.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $690.03 / $984.20 / $1,220.05	Professional		$690.03	$984.20	$1,220.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $614.46 / $874.90 / $1,181.83	Professional		$614.46	$874.90	$1,181.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,767.87 / $10,522.00	Facility		$1,547.00	$2,767.87	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $537.26 / $722.11 / $1,275.85	Professional		$537.26	$722.11	$1,275.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $370.48 / $370.48 / $498.54	Professional		$370.48	$370.48	$498.54