Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.32 / $4,983.00 / $11,647.00	Facility		$596.32	$4,983.00	$11,647.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.64 / $637.73 / $1,666.21	Professional		$305.64	$637.73	$1,666.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $595.98 / $666.07 / $942.08	Professional		$595.98	$666.07	$942.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,516.76 / $4,554.63 / $11,500.00	Facility		$1,516.76	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $556.46 / $1,174.33 / $4,561.84	Professional		$556.46	$1,174.33	$4,561.84
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 $424.43 / $809.06 / $1,753.16	Professional		$424.43	$809.06	$1,753.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $407.95 / $812.27 / $1,575.30	Facility		$407.95	$812.27	$1,575.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.95 / $798.08 / $1,528.02	Professional		$407.95	$798.08	$1,528.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $364.22 / $1,244.22	Professional		$42.67	$364.22	$1,244.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $628.11 / $1,085.30 / $1,246.20	Facility		$628.11	$1,085.30	$1,246.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $845.75 / $1,613.81	Facility		$537.44	$845.75	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.11 / $870.49 / $1,556.98	Professional		$534.11	$870.49	$1,556.98
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 $513.10 / $862.55 / $1,465.87	Professional		$513.10	$862.55	$1,465.87
United Facility/Professional Facility Modifier Low / Median / High Price $595.17 / $1,681.00 / $6,857.00	Facility		$595.17	$1,681.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $702.25 / $956.28 / $1,803.55	Professional		$702.25	$956.28	$1,803.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $360.04 / $507.97 / $697.84	Professional		$360.04	$507.97	$697.84