Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $903.41 / $1,768.50 / $17,930.00	Facility		$903.41	$1,768.50	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.74 / $711.57 / $1,574.73	Professional		$455.74	$711.57	$1,574.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $756.82 / $756.82 / $756.82	Professional		$756.82	$756.82	$756.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,218.36 / $8,052.47 / $17,808.41	Facility		$2,218.36	$8,052.47	$17,808.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $857.08 / $1,354.36 / $4,985.76	Professional		$857.08	$1,354.36	$4,985.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,846.84	Facility		$714.97	$870.49	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.05 / $1,064.08 / $1,928.41	Professional		$600.05	$1,064.08	$1,928.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $598.91 / $1,103.56 / $2,149.79	Facility		$598.91	$1,103.56	$2,149.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $598.91 / $1,079.22 / $1,887.55	Professional		$598.91	$1,079.22	$1,887.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $387.92 / $1,321.02	Professional		$78.68	$387.92	$1,321.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $913.39 / $1,248.21 / $1,368.14	Facility		$913.39	$1,248.21	$1,368.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.78 / $914.61 / $2,218.36	Facility		$738.78	$914.61	$2,218.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $849.76 / $1,218.86 / $1,703.84	Professional		$849.76	$1,218.86	$1,703.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $792.86 / $1,142.91 / $1,659.19	Professional		$792.86	$1,142.91	$1,659.19
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 $815.68 / $1,068.65 / $1,951.74	Professional		$815.68	$1,068.65	$1,951.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $560.61 / $563.17 / $749.25	Professional		$560.61	$563.17	$749.25