Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.41 / $1,117.19 / $12,214.00	Facility		$360.41	$1,117.19	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.13 / $409.59 / $1,040.25	Professional		$187.13	$409.59	$1,040.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.38 / $148.38 / $167.85	Professional		$148.38	$148.38	$167.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $876.64 / $4,594.55 / $11,500.00	Facility		$876.64	$4,594.55	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $315.94 / $868.83 / $3,517.20	Professional		$315.94	$868.83	$3,517.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,677.65	Facility		$466.83	$568.48	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.39 / $501.41 / $1,354.72	Professional		$236.39	$501.41	$1,354.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $235.52 / $488.72 / $1,293.90	Facility		$235.52	$488.72	$1,293.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.52 / $477.02 / $1,258.98	Professional		$235.52	$477.02	$1,258.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $483.48 / $1,024.26	Professional		$45.75	$483.48	$1,024.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $369.94 / $771.69 / $960.11	Facility		$369.94	$771.69	$960.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.84 / $654.88 / $1,323.75	Facility		$440.84	$654.88	$1,323.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.02 / $572.54 / $1,206.88	Professional		$311.02	$572.54	$1,206.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,979.36 / $4,591.92 / $8,788.86	Facility		$2,979.36	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $296.58 / $605.44 / $1,138.68	Professional		$296.58	$605.44	$1,138.68
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 $364.98 / $618.79 / $1,269.98	Professional		$364.98	$618.79	$1,269.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $206.34 / $387.59 / $536.25	Professional		$206.34	$387.59	$536.25