Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.35 / $6,426.00 / $16,398.00	Facility		$494.35	$6,426.00	$16,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.52 / $475.73 / $1,725.00	Professional		$299.52	$475.73	$1,725.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $320.49 / $536.80 / $1,389.98	Professional		$320.49	$536.80	$1,389.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,701.16 / $4,730.13 / $11,500.00	Facility		$2,701.16	$4,730.13	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $502.39 / $816.53 / $3,102.60	Professional		$502.39	$816.53	$3,102.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,985.59	Facility		$714.97	$870.49	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.76 / $638.60 / $1,089.69	Professional		$351.76	$638.60	$1,089.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $366.35 / $739.27 / $1,741.30	Facility		$366.35	$739.27	$1,741.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.17 / $700.35 / $1,499.41	Professional		$329.17	$700.35	$1,499.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.55 / $195.87 / $747.13	Professional		$38.55	$195.87	$747.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $466.24 / $643.87 / $715.56	Facility		$466.24	$643.87	$715.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $466.59 / $488.08 / $1,613.81	Facility		$466.59	$488.08	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.92 / $776.44 / $968.78	Professional		$540.92	$776.44	$968.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,552.03 / $8,712.50	Facility		$3,434.81	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $475.86 / $694.72 / $924.89	Professional		$475.86	$694.72	$924.89
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 $415.95 / $556.78 / $1,000.34	Professional		$415.95	$556.78	$1,000.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $297.88 / $297.88 / $397.64	Professional		$297.88	$297.88	$397.64