Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.19 / $1,371.36 / $8,668.93	Facility		$640.19	$1,371.36	$8,668.93
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $480.14 / $744.97 / $947.54	Facility	54	$480.14	$744.97	$947.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.75 / $618.63 / $1,263.38	Professional		$413.75	$618.63	$1,263.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $327.93 / $327.93 / $669.59	Professional		$327.93	$327.93	$669.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,613.81 / $4,554.63 / $11,500.00	Facility		$1,613.81	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $809.26 / $1,455.99 / $1,455.99	Facility	54	$809.26	$1,455.99	$1,455.99
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $678.22 / $1,093.60 / $3,967.35	Professional		$678.22	$1,093.60	$3,967.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,985.59	Facility		$466.83	$568.48	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.83 / $863.46 / $1,509.16	Professional		$482.83	$863.46	$1,509.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $465.31 / $927.42 / $1,476.63	Facility		$465.31	$927.42	$1,476.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $461.97 / $899.21 / $1,410.87	Professional		$461.97	$899.21	$1,410.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $299.19 / $1,023.37	Professional		$76.14	$299.19	$1,023.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $667.64 / $923.26 / $1,025.77	Facility		$667.64	$923.26	$1,025.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $665.00 / $1,613.81	Facility		$537.44	$665.00	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.67 / $1,025.06 / $1,277.54	Professional		$699.67	$1,025.06	$1,277.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,953.48 / $4,552.03 / $8,712.50	Facility		$2,953.48	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $659.01 / $940.80 / $1,256.19	Professional		$659.01	$940.80	$1,256.19
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $797.42 / $1,431.65	Professional		$600.00	$797.42	$1,431.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.25 / $495.99 / $563.08	Professional		$426.25	$495.99	$563.08