Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.61 / $1,124.73 / $16,163.29	Facility		$492.61	$1,124.73	$16,163.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.76 / $433.57 / $974.62	Professional		$248.76	$433.57	$974.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $289.05 / $289.05 / $289.05	Professional		$289.05	$289.05	$289.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,260.32 / $9,172.83 / $17,546.59	Facility		$1,260.32	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $448.07 / $796.23 / $3,078.96	Professional		$448.07	$796.23	$3,078.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $3,740.43	Facility		$466.83	$568.48	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.72 / $612.01 / $1,166.64	Professional		$335.72	$612.01	$1,166.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $319.57 / $615.45 / $2,806.97	Facility		$319.57	$615.45	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $319.57 / $605.76 / $1,622.78	Professional		$319.57	$605.76	$1,622.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $180.50 / $798.82	Professional		$31.82	$180.50	$798.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $484.41 / $783.90 / $834.15	Facility		$484.41	$783.90	$834.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $555.83 / $567.14 / $2,961.46	Facility		$555.83	$567.14	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.03 / $667.40 / $1,025.21	Professional		$441.03	$667.40	$1,025.21
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 $423.55 / $639.94 / $1,018.24	Professional		$423.55	$639.94	$1,018.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,471.00 / $2,542.00 / $10,522.00	Facility		$1,471.00	$2,542.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $476.49 / $676.50 / $1,187.56	Professional		$476.49	$676.50	$1,187.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $294.56 / $341.50 / $461.88	Professional		$294.56	$341.50	$461.88