Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.37 / $7,489.85 / $22,024.00	Facility		$316.37	$7,489.85	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $1,652.15 / $2,924.12	Professional		$166.05	$1,652.15	$2,924.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.75 / $155.81 / $269.50	Professional		$134.75	$155.81	$269.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,216.08 / $14,638.06 / $29,789.77	Facility		$1,216.08	$14,638.06	$29,789.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $300.18 / $3,027.64 / $12,086.08	Professional		$300.18	$3,027.64	$12,086.08
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $447.40 / $865.50 / $8,107.50	Professional	50	$447.40	$865.50	$8,107.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,303.70 / $3,303.70 / $3,303.70	Facility		$3,303.70	$3,303.70	$3,303.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.75 / $561.12 / $5,065.89	Professional		$275.75	$561.12	$5,065.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $291.52 / $2,572.28 / $5,759.77	Facility		$291.52	$2,572.28	$5,759.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $276.31 / $2,116.06 / $5,378.88	Professional		$276.31	$2,116.06	$5,378.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $415.55 / $2,537.19 / $4,225.97	Professional		$415.55	$2,537.19	$4,225.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $379.39 / $3,113.68 / $3,727.21	Facility		$379.39	$3,113.68	$3,727.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,251.64 / $2,251.64 / $2,348.35	Facility		$2,251.64	$2,251.64	$2,348.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.29 / $584.86 / $4,127.35	Professional		$302.29	$584.86	$4,127.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,363.52 / $15,564.30 / $29,789.77	Facility		$11,363.52	$15,564.30	$29,789.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $281.10 / $539.94 / $3,813.50	Professional		$281.10	$539.94	$3,813.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $20,708.00	Facility		$3,028.00	$11,540.00	$20,708.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,377.32 / $3,552.31 / $4,864.20	Professional		$2,377.32	$3,552.31	$4,864.20