Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.79 / $1,268.58 / $14,464.32	Facility		$573.79	$1,268.58	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.99 / $470.97 / $1,268.58	Professional		$295.99	$470.97	$1,268.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $310.80 / $310.80 / $310.80	Professional		$310.80	$310.80	$310.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,323.75 / $4,594.55 / $11,500.00	Facility		$1,323.75	$4,594.55	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $527.99 / $883.20 / $3,425.36	Professional		$527.99	$883.20	$3,425.36
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 $392.00 / $702.40 / $1,312.44	Professional		$392.00	$702.40	$1,312.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $385.40 / $727.84 / $1,330.98	Facility		$385.40	$727.84	$1,330.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $385.40 / $723.80 / $1,234.58	Professional		$385.40	$723.80	$1,234.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $272.03 / $891.98	Professional		$39.46	$272.03	$891.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.74 / $888.84 / $925.48	Facility		$562.74	$888.84	$925.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.84 / $616.53 / $1,323.75	Facility		$440.84	$616.53	$1,323.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $517.65 / $769.32 / $1,136.06	Professional		$517.65	$769.32	$1,136.06
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 $494.14 / $733.98 / $1,118.41	Professional		$494.14	$733.98	$1,118.41
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $563.67 / $776.62 / $1,315.97	Professional		$563.67	$776.62	$1,315.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $341.83 / $378.76 / $508.36	Professional		$341.83	$378.76	$508.36