Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.27 / $2,415.98 / $15,149.94	Facility		$396.27	$2,415.98	$15,149.94
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $148.08 / $318.87 / $1,201.05	Facility	52	$148.08	$318.87	$1,201.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.69 / $637.74 / $2,167.73	Professional		$213.69	$637.74	$2,167.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.38 / $346.38 / $416.40	Professional		$346.38	$346.38	$416.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,366.31 / $9,975.20 / $20,300.41	Facility		$1,366.31	$9,975.20	$20,300.41
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $446.89 / $784.78 / $784.78	Facility	52	$446.89	$784.78	$784.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $391.06 / $2,270.15 / $9,152.87	Professional		$391.06	$2,270.15	$9,152.87
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 $347.44 / $705.99 / $3,798.08	Professional		$347.44	$705.99	$3,798.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $347.71 / $1,262.58 / $3,344.94	Facility		$347.71	$1,262.58	$3,344.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.18 / $1,056.98 / $3,133.85	Professional		$342.18	$1,056.98	$3,133.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $304.12 / $1,937.86 / $3,195.10	Professional		$304.12	$1,937.86	$3,195.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $430.14 / $2,094.42 / $2,527.23	Facility		$430.14	$2,094.42	$2,527.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,366.31 / $1,695.47 / $1,789.35	Facility		$1,366.31	$1,695.47	$1,789.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.68 / $717.18 / $3,255.92	Professional		$370.68	$717.18	$3,255.92
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 $376.53 / $1,362.63 / $2,871.54	Professional		$376.53	$1,362.63	$2,871.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,336.92 / $2,487.36 / $3,826.71	Professional		$1,336.92	$2,487.36	$3,826.71