Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.61 / $980.93 / $14,464.32	Facility		$524.61	$980.93	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.64 / $524.61 / $1,058.27	Professional		$341.64	$524.61	$1,058.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $821.79 / $821.79 / $821.79	Professional		$821.79	$821.79	$821.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $507.80 / $695.62 / $11,500.00	Facility		$507.80	$695.62	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $550.24 / $887.32 / $3,297.98	Professional		$550.24	$887.32	$3,297.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.39 / $500.00 / $568.48	Facility		$305.39	$500.00	$568.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.50 / $716.17 / $1,226.70	Professional		$383.50	$716.17	$1,226.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $249.41 / $602.22 / $950.32	Facility		$249.41	$602.22	$950.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $292.50 / $602.22 / $964.11	Professional		$292.50	$602.22	$964.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $184.84 / $860.83	Professional		$31.89	$184.84	$860.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $453.55 / $710.87 / $831.47	Facility		$453.55	$710.87	$831.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $539.52 / $567.14	Facility		$77.31	$539.52	$567.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.14 / $847.64 / $1,039.58	Professional		$567.14	$847.64	$1,039.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $495.66 / $681.04 / $1,278.36	Facility		$495.66	$681.04	$1,278.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $526.91 / $761.74 / $1,023.58	Professional		$526.91	$761.74	$1,023.58
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $442.20 / $627.75 / $1,141.80	Professional		$442.20	$627.75	$1,141.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $347.02 / $421.95 / $464.97	Professional		$347.02	$421.95	$464.97