Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.08 / $2,291.81 / $17,100.00	Facility		$316.08	$2,291.81	$17,100.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $158.04 / $274.30 / $504.79	Facility	52	$158.04	$274.30	$504.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.25 / $377.19 / $834.97	Professional		$167.25	$377.19	$834.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.69 / $166.01 / $167.24	Professional		$154.69	$166.01	$167.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,414.98 / $10,612.45 / $20,300.41	Facility		$1,414.98	$10,612.45	$20,300.41
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $357.55 / $623.66 / $623.66	Facility	52	$357.55	$623.66	$623.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $314.89 / $734.93 / $2,765.52	Professional		$314.89	$734.93	$2,765.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,289.46 / $2,289.46 / $3,814.21	Facility		$2,289.46	$2,289.46	$3,814.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.76 / $519.78 / $1,125.81	Professional		$277.76	$519.78	$1,125.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $276.86 / $535.27 / $3,163.58	Facility		$276.86	$535.27	$3,163.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.42 / $512.80 / $1,188.75	Professional		$272.42	$512.80	$1,188.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.67 / $612.56 / $1,001.53	Professional		$94.67	$612.56	$1,001.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $348.17 / $691.60 / $769.08	Facility		$348.17	$691.60	$769.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $507.73 / $512.34 / $1,366.31	Facility		$507.73	$512.34	$1,366.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.97 / $507.73 / $960.37	Professional		$295.97	$507.73	$960.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,881.70 / $10,606.39 / $20,300.41	Facility		$6,881.70	$10,606.39	$20,300.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $300.64 / $522.52 / $859.91	Professional		$300.64	$522.52	$859.91
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 $468.00 / $782.67 / $1,071.71	Professional		$468.00	$782.67	$1,071.71