Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.42 / $1,118.74 / $18,711.00	Facility		$489.42	$1,118.74	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.83 / $444.52 / $1,118.74	Professional		$268.83	$444.52	$1,118.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $291.88 / $291.88 / $291.88	Professional		$291.88	$291.88	$291.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,257.52 / $9,172.83 / $20,286.13	Facility		$1,257.52	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $445.75 / $776.00 / $3,021.36	Professional		$445.75	$776.00	$3,021.36
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 $337.21 / $596.35 / $1,142.81	Professional		$337.21	$596.35	$1,142.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $325.54 / $614.75 / $2,806.97	Facility		$325.54	$614.75	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $325.54 / $611.38 / $1,622.78	Professional		$325.54	$611.38	$1,622.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $250.73 / $775.70	Professional		$39.38	$250.73	$775.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $482.16 / $780.76 / $818.72	Facility		$482.16	$780.76	$818.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $545.41 / $555.26 / $2,961.46	Facility		$545.41	$555.26	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.03 / $657.48 / $1,004.37	Professional		$441.03	$657.48	$1,004.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,646.13 / $9,167.59 / $17,546.59	Facility		$5,646.13	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $421.97 / $636.64 / $996.91	Professional		$421.97	$636.64	$996.91
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 $473.19 / $659.52 / $1,163.43	Professional		$473.19	$659.52	$1,163.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $291.88 / $331.83 / $448.55	Professional		$291.88	$331.83	$448.55