Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.77 / $669.83 / $13,809.00	Facility		$302.77	$669.83	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.28 / $294.27 / $980.00	Professional		$197.28	$294.27	$980.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $352.67 / $352.67 / $352.67	Professional		$352.67	$352.67	$352.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $324.01 / $4,554.63 / $10,072.78	Facility		$324.01	$4,554.63	$10,072.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $316.47 / $506.90 / $2,019.60	Professional		$316.47	$506.90	$2,019.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $300.33 / $765.00 / $870.49	Facility		$300.33	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.18 / $417.85 / $708.81	Professional		$236.18	$417.85	$708.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $206.77 / $384.79 / $591.24	Facility		$206.77	$384.79	$591.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.77 / $363.51 / $572.97	Professional		$206.77	$363.51	$572.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.29 / $198.02 / $503.46	Professional		$46.29	$198.02	$503.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $319.68 / $445.19 / $475.03	Facility		$319.68	$445.19	$475.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.07 / $310.31 / $324.01	Facility		$91.07	$310.31	$324.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.01 / $474.02 / $593.10	Professional		$324.01	$474.02	$593.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,554.63 / $8,712.50	Facility		$3,434.81	$4,554.63	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $293.91 / $435.68 / $581.73	Professional		$293.91	$435.68	$581.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,471.00 / $2,542.00 / $10,522.00	Facility		$1,471.00	$2,542.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.00 / $382.79 / $700.16	Professional		$279.00	$382.79	$700.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $197.11 / $232.19 / $261.79	Professional		$197.11	$232.19	$261.79