Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.67 / $3,791.76 / $12,010.78	Facility		$239.67	$3,791.76	$12,010.78
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $87.84 / $177.74 / $319.81	Facility	52	$87.84	$177.74	$319.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.34 / $290.58 / $608.04	Professional		$130.34	$290.58	$608.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.56 / $251.56 / $251.56	Professional		$251.56	$251.56	$251.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,065.96 / $4,809.85 / $12,000.00	Facility		$1,065.96	$4,809.85	$12,000.00
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $267.04 / $472.30 / $472.30	Facility	52	$267.04	$472.30	$472.30
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $236.46 / $477.22 / $1,853.04	Professional		$236.46	$477.22	$1,853.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,126.23 / $1,126.23 / $1,876.28	Facility		$1,126.23	$1,126.23	$1,876.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.66 / $387.64 / $755.14	Professional		$209.66	$387.64	$755.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $205.46 / $394.03 / $1,528.00	Facility		$205.46	$394.03	$1,528.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.66 / $374.96 / $795.35	Professional		$202.66	$374.96	$795.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.76 / $445.42 / $726.28	Professional		$68.76	$445.42	$726.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $255.27 / $461.63 / $584.26	Facility		$255.27	$461.63	$584.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $335.67 / $341.84 / $676.20	Facility		$335.67	$341.84	$676.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.79 / $353.77 / $626.60	Professional		$232.79	$353.77	$626.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,118.98 / $4,807.10 / $9,200.71	Facility		$3,118.98	$4,807.10	$9,200.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $227.68 / $342.34 / $580.82	Professional		$227.68	$342.34	$580.82
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $310.05 / $521.08 / $713.52	Professional		$310.05	$521.08	$713.52