Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.76 / $1,396.00 / $11,522.02	Facility		$665.76	$1,396.00	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.69 / $547.48 / $1,276.39	Professional		$333.69	$547.48	$1,276.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $795.33 / $795.33 / $795.33	Professional		$795.33	$795.33	$795.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,579.82 / $4,591.92 / $11,500.00	Facility		$2,579.82	$4,591.92	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $614.14 / $997.00 / $3,716.32	Professional		$614.14	$997.00	$3,716.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,677.65	Facility		$625.25	$761.81	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.69 / $786.74 / $1,437.48	Professional		$434.69	$786.74	$1,437.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $439.83 / $803.52 / $1,323.52	Facility		$439.83	$803.52	$1,323.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $434.40 / $782.85 / $1,266.88	Professional		$434.40	$782.85	$1,266.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $286.82 / $982.27	Professional		$39.53	$286.82	$982.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $598.54 / $905.84 / $1,020.41	Facility		$598.54	$905.84	$1,020.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.84 / $684.94 / $1,323.75	Facility		$440.84	$684.94	$1,323.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.72 / $903.08 / $1,263.58	Professional		$608.72	$903.08	$1,263.58
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 $584.75 / $826.85 / $1,230.53	Professional		$584.75	$826.85	$1,230.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,436.00 / $5,794.90 / $9,269.08	Facility		$1,436.00	$5,794.90	$9,269.08
United Facility/Professional Professional Modifier Low / Median / High Price $584.00 / $818.37 / $1,438.07	Professional		$584.00	$818.37	$1,438.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $399.77 / $418.80 / $558.02	Professional		$399.77	$418.80	$558.02