Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $968.16 / $6,470.00 / $18,711.00	Facility		$968.16	$6,470.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.14 / $669.40 / $1,454.23	Professional		$441.14	$669.40	$1,454.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $782.51 / $782.51 / $1,389.98	Professional		$782.51	$782.51	$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 $744.17 / $1,190.81 / $5,205.68	Professional		$744.17	$1,190.81	$5,205.68
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 $532.52 / $943.98 / $1,604.73	Professional		$532.52	$943.98	$1,604.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $539.40 / $1,092.35 / $1,741.30	Facility		$539.40	$1,092.35	$1,741.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $495.63 / $1,046.88 / $1,621.64	Professional		$495.63	$1,046.88	$1,621.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $301.83 / $1,032.04	Professional		$76.14	$301.83	$1,032.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $717.06 / $983.56 / $1,059.94	Facility		$717.06	$983.56	$1,059.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $696.71 / $1,613.81	Facility		$537.44	$696.71	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $804.10 / $1,150.10 / $1,435.03	Professional		$804.10	$1,150.10	$1,435.03
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 $710.56 / $1,029.06 / $1,370.01	Professional		$710.56	$1,029.06	$1,370.01
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 $631.92 / $807.25 / $1,466.20	Professional		$631.92	$807.25	$1,466.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $441.70 / $441.70 / $579.64	Professional		$441.70	$441.70	$579.64