Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.20 / $4,011.00 / $14,464.32	Facility		$326.20	$4,011.00	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.82 / $444.94 / $1,485.59	Professional		$223.82	$444.94	$1,485.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.49 / $275.98 / $344.98	Professional		$172.49	$275.98	$344.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,028.36 / $9,167.59 / $16,394.00	Facility		$1,028.36	$9,167.59	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $321.33 / $576.87 / $2,728.60	Professional		$321.33	$576.87	$2,728.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,740.43	Facility		$625.25	$761.81	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.33 / $563.82 / $952.32	Professional		$316.33	$563.82	$952.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $425.99 / $809.83 / $2,806.97	Facility		$425.99	$809.83	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $422.16 / $791.66 / $1,820.53	Professional		$422.16	$791.66	$1,820.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.19 / $456.69 / $801.57	Professional		$81.19	$456.69	$801.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $484.62 / $619.48 / $1,090.76	Facility		$484.62	$619.48	$1,090.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $404.08 / $406.27 / $2,961.46	Facility		$404.08	$406.27	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.52 / $461.39 / $744.72	Professional		$314.52	$461.39	$744.72
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 $284.33 / $438.24 / $769.87	Professional		$284.33	$438.24	$769.87
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 $581.67 / $805.49 / $1,404.46	Professional		$581.67	$805.49	$1,404.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $185.49 / $243.49 / $323.22	Professional		$185.49	$243.49	$323.22