Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.00 / $4,011.00 / $18,711.00	Facility		$699.00	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.47 / $634.61 / $2,188.00	Professional		$441.47	$634.61	$2,188.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $909.11 / $909.11 / $909.11	Professional		$909.11	$909.11	$909.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $17,546.59	Facility		$2,961.46	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $697.60 / $1,117.00 / $4,309.35	Professional		$697.60	$1,117.00	$4,309.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,740.43	Facility		$625.25	$761.81	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $499.71 / $888.78 / $1,509.44	Professional		$499.71	$888.78	$1,509.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $498.07 / $1,027.74 / $3,280.24	Facility		$498.07	$1,027.74	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $463.09 / $988.90 / $2,824.57	Professional		$463.09	$988.90	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $299.09 / $998.95	Professional		$76.13	$299.09	$998.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $668.36 / $915.58 / $993.61	Facility		$668.36	$915.58	$993.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $652.77 / $677.73 / $2,961.46	Facility		$652.77	$677.73	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $754.26 / $1,078.14 / $1,345.23	Professional		$754.26	$1,078.14	$1,345.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $665.74 / $964.67 / $1,291.83	Professional		$665.74	$964.67	$1,291.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $578.34 / $784.88 / $1,397.40	Professional		$578.34	$784.88	$1,397.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $414.38 / $414.38 / $549.60	Professional		$414.38	$414.38	$549.60