Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.43 / $7,920.26 / $18,800.00	Facility		$832.43	$7,920.26	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.83 / $571.73 / $1,192.73	Professional		$393.83	$571.73	$1,192.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $690.42 / $690.42 / $690.42	Professional		$690.42	$690.42	$690.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $622.89 / $7,547.82 / $15,403.47	Facility		$622.89	$7,547.82	$15,403.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $641.16 / $1,033.67 / $3,891.90	Professional		$641.16	$1,033.67	$3,891.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.00 / $870.49 / $2,846.84	Facility		$670.00	$870.49	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.32 / $825.55 / $1,383.27	Professional		$486.32	$825.55	$1,383.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $493.96 / $1,003.30 / $2,496.58	Facility		$493.96	$1,003.30	$2,496.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $463.32 / $963.55 / $2,149.79	Professional		$463.32	$963.55	$2,149.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.46 / $458.44 / $1,012.98	Professional		$81.46	$458.44	$1,012.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $643.37 / $881.72 / $913.21	Facility		$643.37	$881.72	$913.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.23 / $622.89 / $2,218.36	Facility		$600.23	$622.89	$2,218.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $690.55 / $990.90 / $1,236.38	Professional		$690.55	$990.90	$1,236.38
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 $612.15 / $886.61 / $1,180.35	Professional		$612.15	$886.61	$1,180.35
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 $562.01 / $739.19 / $1,297.61	Professional		$562.01	$739.19	$1,297.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $378.22 / $378.22 / $490.08	Professional		$378.22	$378.22	$490.08