Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.46 / $1,072.56 / $17,100.00	Facility		$466.46	$1,072.56	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.83 / $426.07 / $1,000.19	Professional		$262.83	$426.07	$1,000.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $402.30 / $402.30 / $402.30	Professional		$402.30	$402.30	$402.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $534.15 / $4,554.63 / $10,072.78	Facility		$534.15	$4,554.63	$10,072.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $424.85 / $735.00 / $2,862.88	Professional		$424.85	$735.00	$2,862.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.33 / $765.00 / $870.49	Facility		$549.33	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.07 / $603.14 / $1,084.81	Professional		$318.07	$603.14	$1,084.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $308.31 / $546.45 / $985.78	Facility		$308.31	$546.45	$985.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.31 / $547.04 / $927.47	Professional		$308.31	$547.04	$927.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $251.63 / $754.90	Professional		$39.46	$251.63	$754.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $452.05 / $733.20 / $770.44	Facility		$452.05	$733.20	$770.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.89 / $513.25 / $534.15	Facility		$177.89	$513.25	$534.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.19 / $625.28 / $946.02	Professional		$417.19	$625.28	$946.02
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 $380.63 / $599.74 / $918.63	Professional		$380.63	$599.74	$918.63
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 $450.00 / $608.40 / $1,095.83	Professional		$450.00	$608.40	$1,095.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $276.27 / $314.44 / $423.48	Professional		$276.27	$314.44	$423.48