Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.61 / $1,505.07 / $14,464.32	Facility		$717.61	$1,505.07	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.56 / $551.92 / $1,291.71	Professional		$361.56	$551.92	$1,291.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $501.67 / $501.67 / $1,026.81	Professional		$501.67	$501.67	$1,026.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,838.64 / $8,052.47 / $16,394.00	Facility		$1,838.64	$8,052.47	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $658.08 / $1,054.06 / $4,595.33	Professional		$658.08	$1,054.06	$4,595.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $2,846.84	Facility		$625.25	$761.81	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.36 / $850.04 / $1,501.65	Professional		$469.36	$850.04	$1,501.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $471.50 / $871.70 / $2,136.38	Facility		$471.50	$871.70	$2,136.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $469.96 / $848.01 / $1,676.37	Professional		$469.96	$848.01	$1,676.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $315.49 / $1,084.38	Professional		$77.42	$315.49	$1,084.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $704.22 / $1,002.99 / $1,074.40	Facility		$704.22	$1,002.99	$1,074.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $722.08 / $723.89 / $2,218.36	Facility		$722.08	$723.89	$2,218.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $653.71 / $945.49 / $1,326.92	Professional		$653.71	$945.49	$1,326.92
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 $622.67 / $897.73 / $1,299.67	Professional		$622.67	$897.73	$1,299.67
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 $643.86 / $873.80 / $1,517.66	Professional		$643.86	$873.80	$1,517.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.73 / $433.15 / $578.66	Professional		$426.73	$433.15	$578.66