Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.08 / $11,064.41 / $20,965.00	Facility		$766.08	$11,064.41	$20,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.66 / $863.25 / $3,112.20	Professional		$581.66	$863.25	$3,112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $561.48 / $838.85 / $1,038.74	Professional		$561.48	$838.85	$1,038.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,490.98 / $9,167.59 / $17,907.41	Facility		$5,490.98	$9,167.59	$17,907.41
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $9,601.43 / $13,759.25 / $26,618.73	Facility	50	$9,601.43	$13,759.25	$26,618.73
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 $805.25 / $1,230.08 / $6,386.47	Professional		$805.25	$1,230.08	$6,386.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,664.69 / $3,740.43	Facility		$883.20	$1,664.69	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.10 / $1,074.27 / $1,731.83	Professional		$611.10	$1,074.27	$1,731.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $636.33 / $1,287.30 / $3,280.24	Facility		$636.33	$1,287.30	$3,280.24
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $7,533.67 / $9,273.01 / $22,310.81	Facility	50	$7,533.67	$9,273.01	$22,310.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $636.12 / $1,208.52 / $2,824.57	Professional		$636.12	$1,208.52	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $361.27 / $1,111.60	Professional		$78.54	$361.27	$1,111.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $792.82 / $1,084.73 / $1,147.04	Facility		$792.82	$1,084.73	$1,147.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $757.87 / $782.38 / $2,961.46	Facility		$757.87	$782.38	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $871.40 / $1,244.61 / $1,552.96	Professional		$871.40	$1,244.61	$1,552.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,145.87 / $9,167.59 / $17,546.59	Facility		$6,145.87	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $9,218.81 / $13,751.39 / $26,319.89	Facility	50	$9,218.81	$13,751.39	$26,319.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $772.93 / $1,113.61 / $1,492.48	Professional		$772.93	$1,113.61	$1,492.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $11,941.00	Facility		$2,155.00	$3,297.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $679.98 / $932.80 / $1,637.50	Professional		$679.98	$932.80	$1,637.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $476.49 / $476.49 / $621.37	Professional		$476.49	$476.49	$621.37