Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.99 / $6,470.00 / $14,791.04	Facility		$801.99	$6,470.00	$14,791.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.73 / $779.95 / $3,023.00	Professional		$503.73	$779.95	$3,023.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $522.36 / $652.95 / $1,309.20	Professional		$522.36	$652.95	$1,309.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,490.98 / $9,172.83 / $17,907.41	Facility		$5,490.98	$9,172.83	$17,907.41
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $510.42 / $849.00 / $849.00	Facility	AS	$510.42	$849.00	$849.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $848.60 / $1,402.75 / $5,242.28	Professional		$848.60	$1,402.75	$5,242.28
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 $644.16 / $1,103.85 / $1,839.52	Professional		$644.16	$1,103.85	$1,839.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $671.26 / $1,347.72 / $3,280.24	Facility		$671.26	$1,347.72	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $605.66 / $1,289.53 / $2,824.57	Professional		$605.66	$1,289.53	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $369.05 / $1,194.93	Professional		$78.68	$369.05	$1,194.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $871.71 / $1,172.21 / $1,212.70	Facility		$871.71	$1,172.21	$1,212.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $799.09 / $824.43 / $2,961.46	Facility		$799.09	$824.43	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $918.67 / $1,311.51 / $1,636.41	Professional		$918.67	$1,311.51	$1,636.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,006.61 / $9,172.83 / $17,546.59	Facility		$7,006.61	$9,172.83	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $814.97 / $1,173.47 / $1,573.44	Professional		$814.97	$1,173.47	$1,573.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $760.20 / $995.49 / $1,788.73	Professional		$760.20	$995.49	$1,788.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $501.62 / $501.62 / $652.95	Professional		$501.62	$501.62	$652.95