Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.19 / $778.85 / $14,464.32	Facility		$238.19	$778.85	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.05 / $342.49 / $666.21	Professional		$165.05	$342.49	$666.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.03 / $301.93 / $341.27	Professional		$133.03	$301.93	$341.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $381.60 / $5,700.71 / $26,542.00	Facility		$381.60	$5,700.71	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $236.46 / $531.23 / $2,399.94	Professional		$236.46	$531.23	$2,399.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.51 / $383.74 / $838.51	Professional		$207.51	$383.74	$838.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $212.55 / $385.49 / $819.58	Facility		$212.55	$385.49	$819.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.55 / $385.49 / $814.86	Professional		$212.55	$385.49	$814.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $465.01 / $762.31	Professional		$76.18	$465.01	$762.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $328.23 / $531.53 / $663.52	Facility		$328.23	$531.53	$663.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $381.60 / $381.60 / $393.66	Facility		$381.60	$381.60	$393.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.79 / $371.28 / $699.48	Professional		$232.79	$371.28	$699.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,524.92 / $4,524.92 / $5,700.71	Facility		$4,524.92	$4,524.92	$5,700.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.49 / $365.98 / $646.29	Professional		$199.49	$365.98	$646.29
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $6,216.00	Facility		$497.00	$1,078.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $382.94 / $590.27 / $863.34	Professional		$382.94	$590.27	$863.34