Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.37 / $4,011.00 / $10,122.46	Facility		$257.37	$4,011.00	$10,122.46
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $89.50 / $185.08 / $336.99	Facility	52	$89.50	$185.08	$336.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.67 / $247.83 / $619.44	Professional		$8.67	$247.83	$619.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $127.26 / $227.01	Professional		$105.52	$127.26	$227.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,076.46 / $4,809.85 / $12,444.54	Facility		$1,076.46	$4,809.85	$12,444.54
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $272.43 / $477.18 / $477.18	Facility	52	$272.43	$477.18	$477.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $237.67 / $487.43 / $2,187.08	Professional		$237.67	$487.43	$2,187.08
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 $211.49 / $391.03 / $772.94	Professional		$211.49	$391.03	$772.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $212.55 / $398.58 / $1,528.00	Facility		$212.55	$398.58	$1,528.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.79 / $391.87 / $810.81	Professional		$209.79	$391.87	$810.81
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 $279.66 / $482.40 / $584.91	Facility		$279.66	$482.40	$584.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $347.90 / $349.15 / $676.20	Facility		$347.90	$349.15	$676.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.98 / $355.58 / $640.00	Professional		$233.98	$355.58	$640.00
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 $228.84 / $354.82 / $593.25	Professional		$228.84	$354.82	$593.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,740.00 / $6,167.72 / $9,865.41	Facility		$3,740.00	$6,167.72	$9,865.41
United Facility/Professional Professional Modifier Low / Median / High Price $322.20 / $535.87 / $733.77	Professional		$322.20	$535.87	$733.77