Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.66 / $526.39 / $12,214.00	Facility		$129.66	$526.39	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $256.45 / $587.46	Professional		$85.26	$256.45	$587.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $477.67 / $477.67 / $477.67	Professional		$477.67	$477.67	$477.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $287.80 / $1,673.37 / $3,405.45	Facility		$287.80	$1,673.37	$3,405.45
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $2,039.78 / $2,670.41 / $5,166.18	Facility	50	$2,039.78	$2,670.41	$5,166.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $425.02 / $1,608.05	Professional		$151.27	$425.02	$1,608.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.46 / $472.46 / $787.12	Facility		$472.46	$472.46	$787.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.05 / $262.08 / $713.89	Professional		$140.05	$262.08	$713.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $140.61 / $333.50 / $1,481.59	Facility		$140.61	$333.50	$1,481.59
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $1,505.22 / $2,601.75 / $6,259.79	Facility	50	$1,505.22	$2,601.75	$6,259.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.99 / $295.33 / $897.63	Professional		$137.99	$295.33	$897.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.34 / $388.01 / $634.63	Professional		$60.34	$388.01	$634.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $176.12 / $396.06 / $474.36	Facility		$176.12	$396.06	$474.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.80 / $320.36 / $326.61	Facility		$287.80	$320.36	$326.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $290.20 / $617.52	Professional		$150.00	$290.20	$617.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,200.26 / $1,780.27 / $3,405.45	Facility		$1,200.26	$1,780.27	$3,405.45
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,800.39 / $2,670.41 / $5,108.18	Facility	50	$1,800.39	$2,670.41	$5,108.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $152.36 / $287.89 / $544.33	Professional		$152.36	$287.89	$544.33
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $278.52 / $507.78 / $713.20	Professional		$278.52	$507.78	$713.20