Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.52 / $4,362.08 / $8,668.93	Facility		$808.52	$4,362.08	$8,668.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.19 / $597.54 / $1,831.21	Professional		$280.19	$597.54	$1,831.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $298.20 / $500.00 / $904.51	Professional		$298.20	$500.00	$904.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,399.20 / $4,554.63 / $11,500.00	Facility		$1,399.20	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $499.20 / $1,116.84 / $4,368.80	Professional		$499.20	$1,116.84	$4,368.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,985.59	Facility		$625.25	$761.81	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.89 / $767.93 / $1,699.42	Professional		$392.89	$767.93	$1,699.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $380.48 / $761.46 / $1,558.93	Facility		$380.48	$761.46	$1,558.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.48 / $760.81 / $1,499.41	Professional		$380.48	$760.81	$1,499.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.57 / $355.27 / $1,157.57	Professional		$42.57	$355.27	$1,157.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $593.62 / $1,046.54 / $1,193.27	Facility		$593.62	$1,046.54	$1,193.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $813.14 / $1,613.81	Facility		$537.44	$813.14	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $493.24 / $814.58 / $1,491.94	Professional		$493.24	$814.58	$1,491.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,323.45 / $4,552.03 / $8,712.50	Facility		$3,323.45	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $473.07 / $829.29 / $1,403.61	Professional		$473.07	$829.29	$1,403.61
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 $671.66 / $875.49 / $1,702.40	Professional		$671.66	$875.49	$1,702.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $334.18 / $486.15 / $670.01	Professional		$334.18	$486.15	$670.01