Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $6,470.00 / $20,680.40	Facility		$988.00	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.00 / $776.82 / $2,284.00	Professional		$549.00	$776.82	$2,284.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $301.08 / $814.83 / $814.83	Professional		$301.08	$814.83	$814.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,490.98 / $9,167.59 / $17,907.41	Facility		$5,490.98	$9,167.59	$17,907.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $837.68 / $1,327.50 / $6,307.00	Professional		$837.68	$1,327.50	$6,307.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $3,740.43	Facility		$883.20	$1,075.31	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.83 / $1,094.20 / $1,857.33	Professional		$623.83	$1,094.20	$1,857.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $633.36 / $1,283.30 / $3,280.24	Facility		$633.36	$1,283.30	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $577.91 / $1,242.65 / $2,824.57	Professional		$577.91	$1,242.65	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $361.27 / $1,161.85	Professional		$78.54	$361.27	$1,161.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $838.19 / $1,146.36 / $1,228.10	Facility		$838.19	$1,146.36	$1,228.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $808.61 / $837.68 / $2,961.46	Facility		$808.61	$837.68	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.06 / $1,332.59 / $1,662.71	Professional		$933.06	$1,332.59	$1,662.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,013.44 / $9,167.59 / $17,546.59	Facility		$6,013.44	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $824.67 / $1,192.33 / $1,587.38	Professional		$824.67	$1,192.33	$1,587.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,942.06 / $11,941.00	Facility		$2,155.00	$2,942.06	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $716.00 / $931.79 / $1,710.76	Professional		$716.00	$931.79	$1,710.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $511.28 / $511.28 / $669.26	Professional		$511.28	$511.28	$669.26