Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $744.04 / $2,769.52 / $18,711.00	Facility		$744.04	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.52 / $636.37 / $1,316.08	Professional		$466.52	$636.37	$1,316.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $921.08 / $921.08 / $921.08	Professional		$921.08	$921.08	$921.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $507.80 / $733.95 / $11,500.00	Facility		$507.80	$733.95	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $709.15 / $1,147.92 / $4,395.30	Professional		$709.15	$1,147.92	$4,395.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.39 / $500.00 / $568.48	Facility		$305.39	$500.00	$568.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.48 / $898.77 / $1,531.07	Professional		$487.48	$898.77	$1,531.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $226.46 / $735.27 / $1,220.36	Facility		$226.46	$735.27	$1,220.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $235.16 / $735.27 / $1,221.78	Professional		$235.16	$735.27	$1,221.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $299.93 / $998.62	Professional		$76.14	$299.93	$998.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $629.74 / $911.20 / $1,011.70	Facility		$629.74	$911.20	$1,011.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $664.55 / $690.07	Facility		$77.31	$664.55	$690.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $765.93 / $1,097.77 / $1,369.72	Professional		$765.93	$1,097.77	$1,369.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $495.66 / $681.04 / $1,304.66	Facility		$495.66	$681.04	$1,304.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $677.75 / $982.22 / $1,307.66	Professional		$677.75	$982.22	$1,307.66
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $582.50 / $868.63 / $1,439.57	Professional		$582.50	$868.63	$1,439.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $421.55 / $421.55 / $553.76	Professional		$421.55	$421.55	$553.76