Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.91 / $2,550.00 / $14,960.00	Facility		$571.91	$2,550.00	$14,960.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.81 / $501.93 / $1,279.86	Professional		$287.81	$501.93	$1,279.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,467.52 / $4,589.03 / $11,500.00	Facility		$1,467.52	$4,589.03	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $529.91 / $896.65 / $3,477.20	Professional		$529.91	$896.65	$3,477.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,985.59	Facility		$714.97	$870.49	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.84 / $690.23 / $1,326.52	Professional		$387.84	$690.23	$1,326.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $376.79 / $717.09 / $1,478.43	Facility		$376.79	$717.09	$1,478.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $376.79 / $711.32 / $1,337.80	Professional		$376.79	$711.32	$1,337.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $273.26 / $924.01	Professional		$39.46	$273.26	$924.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $566.35 / $902.49 / $938.00	Facility		$566.35	$902.49	$938.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $621.97 / $1,613.81	Facility		$537.44	$621.97	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.54 / $766.82 / $1,154.40	Professional		$512.54	$766.82	$1,154.40
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 $493.08 / $739.99 / $1,128.27	Professional		$493.08	$739.99	$1,128.27
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 $525.72 / $756.57 / $1,332.17	Professional		$525.72	$756.57	$1,332.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $341.06 / $384.57 / $517.85	Professional		$341.06	$384.57	$517.85