Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.88 / $1,271.15 / $14,464.32	Facility		$589.88	$1,271.15	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.02 / $529.76 / $1,363.99	Professional		$302.02	$529.76	$1,363.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $440.30 / $476.00 / $946.09	Professional		$440.30	$476.00	$946.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,323.75 / $4,594.55 / $11,500.00	Facility		$1,323.75	$4,594.55	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $538.98 / $1,004.07 / $3,832.88	Professional		$538.98	$1,004.07	$3,832.88
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 $404.77 / $740.96 / $1,475.29	Professional		$404.77	$740.96	$1,475.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $386.63 / $728.37 / $1,363.64	Facility		$386.63	$728.37	$1,363.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $386.63 / $727.84 / $1,291.83	Professional		$386.63	$727.84	$1,291.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $294.87 / $1,026.98	Professional		$39.65	$294.87	$1,026.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $541.49 / $911.87 / $1,048.55	Facility		$541.49	$911.87	$1,048.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.84 / $713.93 / $1,323.75	Facility		$440.84	$713.93	$1,323.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $533.54 / $809.85 / $1,309.43	Professional		$533.54	$809.85	$1,309.43
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 $508.36 / $769.75 / $1,266.29	Professional		$508.36	$769.75	$1,266.29
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $540.07 / $827.64 / $1,516.81	Professional		$540.07	$827.64	$1,516.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $352.59 / $428.18 / $579.90	Professional		$352.59	$428.18	$579.90