Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.66 / $1,429.94 / $16,238.00	Facility		$606.66	$1,429.94	$16,238.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.66 / $513.48 / $1,263.58	Professional		$294.66	$513.48	$1,263.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $216.65 / $216.65 / $216.65	Professional		$216.65	$216.65	$216.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,551.92 / $9,172.83 / $20,286.13	Facility		$1,551.92	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $553.32 / $953.62 / $3,679.28	Professional		$553.32	$953.62	$3,679.28
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 $411.96 / $733.37 / $1,401.33	Professional		$411.96	$733.37	$1,401.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $395.11 / $755.71 / $2,806.97	Facility		$395.11	$755.71	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $395.11 / $734.10 / $1,686.11	Professional		$395.11	$734.10	$1,686.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $281.65 / $1,018.50	Professional		$39.46	$281.65	$1,018.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $593.28 / $932.64 / $994.28	Facility		$593.28	$932.64	$994.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $665.91 / $678.19 / $2,961.46	Facility		$665.91	$678.19	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $547.73 / $814.33 / $1,227.75	Professional		$547.73	$814.33	$1,227.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $522.05 / $784.63 / $1,214.57	Professional		$522.05	$784.63	$1,214.57
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 $555.88 / $801.96 / $1,422.19	Professional		$555.88	$801.96	$1,422.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $361.08 / $408.58 / $550.50	Professional		$361.08	$408.58	$550.50