Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.39 / $2,587.08 / $17,100.00	Facility		$479.39	$2,587.08	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.98 / $988.66 / $2,283.11	Professional		$274.98	$988.66	$2,283.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $236.70 / $236.70 / $236.70	Professional		$236.70	$236.70	$236.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,842.54 / $1,842.54 / $8,980.00	Facility		$1,842.54	$1,842.54	$8,980.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $457.77 / $1,966.25 / $7,706.96	Professional		$457.77	$1,966.25	$7,706.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.81 / $864.19 / $3,021.52	Professional		$341.81	$864.19	$3,021.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $367.58 / $968.44 / $2,980.36	Facility		$367.58	$968.44	$2,980.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $377.28 / $968.44 / $2,890.86	Professional		$377.28	$968.44	$2,890.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $270.68 / $1,607.79 / $2,711.53	Professional		$270.68	$1,607.79	$2,711.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $529.29 / $2,011.53 / $2,239.05	Facility		$529.29	$2,011.53	$2,239.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,437.72 / $1,437.72 / $1,487.65	Facility		$1,437.72	$1,437.72	$1,487.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.73 / $1,235.75 / $2,853.74	Professional		$475.73	$1,235.75	$2,853.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $482.98 / $993.30 / $2,442.87	Professional		$482.98	$993.30	$2,442.87
United Facility/Professional Facility Modifier Low / Median / High Price $414.00 / $666.00 / $6,216.00	Facility		$414.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,255.89 / $2,091.79 / $3,218.74	Professional		$1,255.89	$2,091.79	$3,218.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $273.50 / $273.50 / $1,170.49	Professional		$273.50	$273.50	$1,170.49