Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.38 / $3,810.00 / $15,137.08	Facility		$314.38	$3,810.00	$15,137.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.40 / $478.66 / $1,453.05	Professional		$243.40	$478.66	$1,453.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.88 / $159.88 / $159.88	Professional		$159.88	$159.88	$159.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $966.18 / $9,167.59 / $16,394.00	Facility		$966.18	$9,167.59	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $313.30 / $559.00 / $2,614.19	Professional		$313.30	$559.00	$2,614.19
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 $306.52 / $554.96 / $925.90	Professional		$306.52	$554.96	$925.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $418.90 / $806.35 / $2,806.97	Facility		$418.90	$806.35	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $413.11 / $775.80 / $1,820.53	Professional		$413.11	$775.80	$1,820.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.33 / $405.94 / $716.46	Professional		$72.33	$405.94	$716.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $475.28 / $606.55 / $1,042.52	Facility		$475.28	$606.55	$1,042.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $396.38 / $399.88 / $2,961.46	Facility		$396.38	$399.88	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.39 / $449.84 / $730.19	Professional		$304.39	$449.84	$730.19
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 $275.17 / $426.42 / $737.51	Professional		$275.17	$426.42	$737.51
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 $551.42 / $793.18 / $1,334.92	Professional		$551.42	$793.18	$1,334.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.05 / $238.80 / $317.20	Professional		$181.05	$238.80	$317.20