Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.56 / $1,841.77 / $18,711.00	Facility		$705.56	$1,841.77	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.51 / $668.08 / $1,516.17	Professional		$394.51	$668.08	$1,516.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $249.59 / $249.59 / $348.97	Professional		$249.59	$249.59	$348.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,206.52 / $9,172.83 / $20,286.13	Facility		$1,206.52	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $467.23 / $774.74 / $3,433.90	Professional		$467.23	$774.74	$3,433.90
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 $481.21 / $775.75 / $1,217.45	Professional		$481.21	$775.75	$1,217.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $617.50 / $1,158.83 / $2,806.97	Facility		$617.50	$1,158.83	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $609.34 / $1,079.35 / $1,965.05	Professional		$609.34	$1,079.35	$1,965.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.07 / $548.56 / $960.99	Professional		$97.07	$548.56	$960.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $615.90 / $908.55 / $1,368.14	Facility		$615.90	$908.55	$1,368.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $515.51 / $516.87 / $2,961.46	Facility		$515.51	$516.87	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $444.26 / $669.80 / $1,060.08	Professional		$444.26	$669.80	$1,060.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $415.72 / $667.78 / $1,160.97	Professional		$415.72	$667.78	$1,160.97
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 $742.63 / $1,009.20 / $1,749.27	Professional		$742.63	$1,009.20	$1,749.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $267.62 / $309.47 / $405.74	Professional		$267.62	$309.47	$405.74