Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.91 / $4,373.00 / $13,320.00	Facility		$215.91	$4,373.00	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.44 / $528.80 / $1,201.29	Professional		$209.44	$528.80	$1,201.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.29 / $299.58 / $336.61	Professional		$146.29	$299.58	$336.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $233.07 / $7,826.70 / $26,542.00	Facility		$233.07	$7,826.70	$26,542.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $23.84 / $236.38 / $236.38	Facility	AS	$23.84	$236.38	$236.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $239.90 / $373.58 / $5,110.16	Professional		$239.90	$373.58	$5,110.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $1,376.27	Facility		$714.97	$765.00	$1,376.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.21 / $339.61 / $687.72	Professional		$190.21	$339.61	$687.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $194.94 / $364.57 / $1,011.99	Facility		$194.94	$364.57	$1,011.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.37 / $361.15 / $815.37	Professional		$192.37	$361.15	$815.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $293.03 / $517.98	Professional		$51.94	$293.03	$517.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $280.50 / $329.47 / $802.00	Facility		$280.50	$329.47	$802.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.03 / $231.03 / $233.07	Facility		$231.03	$231.03	$233.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.55 / $370.77 / $462.62	Professional		$262.55	$370.77	$462.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,878.26 / $4,878.26 / $6,145.87	Facility		$4,878.26	$4,878.26	$6,145.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $235.62 / $331.74 / $450.14	Professional		$235.62	$331.74	$450.14
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.15 / $334.34 / $642.84	Professional		$217.15	$334.34	$642.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.16 / $142.16 / $179.05	Professional		$142.16	$142.16	$179.05