Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.00 / $8,638.68 / $16,398.00	Facility		$801.00	$8,638.68	$16,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.02 / $620.42 / $1,987.00	Professional		$418.02	$620.42	$1,987.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $816.04 / $816.04 / $816.04	Professional		$816.04	$816.04	$816.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $619.69 / $7,547.82 / $15,403.47	Facility		$619.69	$7,547.82	$15,403.47
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $388.48 / $646.16 / $646.16	Facility	AS	$388.48	$646.16	$646.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $640.80 / $1,035.23 / $3,968.40	Professional		$640.80	$1,035.23	$3,968.40
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 $455.64 / $802.44 / $1,361.53	Professional		$455.64	$802.44	$1,361.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $482.13 / $978.05 / $2,496.58	Facility		$482.13	$978.05	$2,496.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $460.98 / $945.00 / $2,149.79	Professional		$460.98	$945.00	$2,149.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $412.33 / $909.81	Professional		$75.37	$412.33	$909.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $631.61 / $860.95 / $908.52	Facility		$631.61	$860.95	$908.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $603.85 / $619.69 / $2,218.36	Facility		$603.85	$619.69	$2,218.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $690.55 / $986.42 / $1,230.03	Professional		$690.55	$986.42	$1,230.03
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 $615.85 / $882.05 / $1,174.30	Professional		$615.85	$882.05	$1,174.30
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 $541.37 / $718.03 / $1,276.79	Professional		$541.37	$718.03	$1,276.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $377.11 / $377.11 / $484.10	Professional		$377.11	$377.11	$484.10