Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.78 / $1,168.10 / $14,464.32	Facility		$485.78	$1,168.10	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.56 / $394.95 / $988.62	Professional		$249.56	$394.95	$988.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $458.29 / $458.29 / $458.29	Professional		$458.29	$458.29	$458.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,240.76 / $4,591.92 / $11,500.00	Facility		$1,240.76	$4,591.92	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $439.72 / $743.94 / $2,862.88	Professional		$439.72	$743.94	$2,862.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,677.65	Facility		$625.25	$761.81	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.60 / $591.58 / $1,097.98	Professional		$324.60	$591.58	$1,097.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $321.27 / $604.87 / $1,266.88	Facility		$321.27	$604.87	$1,266.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.27 / $603.66 / $1,113.89	Professional		$321.27	$603.66	$1,113.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $204.22 / $755.13	Professional		$38.47	$204.22	$755.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $457.30 / $747.86 / $775.86	Facility		$457.30	$747.86	$775.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.84 / $513.70 / $1,323.75	Facility		$440.84	$513.70	$1,323.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.08 / $645.69 / $952.69	Professional		$433.08	$645.69	$952.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,264.85 / $4,591.92 / $8,788.86	Facility		$3,264.85	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $416.70 / $615.51 / $931.86	Professional		$416.70	$615.51	$931.86
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,442.71 / $6,857.00	Facility		$702.00	$1,442.71	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $441.87 / $623.16 / $1,103.57	Professional		$441.87	$623.16	$1,103.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $286.43 / $314.72 / $422.57	Professional		$286.43	$314.72	$422.57