Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.01 / $5,116.62 / $18,800.00	Facility		$540.01	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.26 / $542.98 / $1,164.29	Professional		$376.26	$542.98	$1,164.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $424.30 / $424.30 / $424.30	Professional		$424.30	$424.30	$424.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $20,286.13	Facility		$2,961.46	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $602.11 / $987.03 / $3,685.43	Professional		$602.11	$987.03	$3,685.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.89 / $769.28 / $1,299.05	Professional		$451.89	$769.28	$1,299.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $465.08 / $935.96 / $3,280.24	Facility		$465.08	$935.96	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.59 / $892.97 / $2,824.57	Professional		$421.59	$892.97	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.12 / $419.18 / $931.19	Professional		$77.12	$419.18	$931.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $605.15 / $820.75 / $857.60	Facility		$605.15	$820.75	$857.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $561.72 / $584.96 / $2,961.46	Facility		$561.72	$584.96	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.85 / $930.56 / $1,161.08	Professional		$645.85	$930.56	$1,161.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $572.88 / $832.26 / $1,108.48	Professional		$572.88	$832.26	$1,108.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $513.23 / $691.71 / $1,213.63	Professional		$513.23	$691.71	$1,213.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $358.88 / $358.88 / $468.90	Professional		$358.88	$358.88	$468.90