Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.60 / $1,562.04 / $17,100.00	Facility		$169.60	$1,562.04	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.96 / $389.21 / $1,074.73	Professional		$87.96	$389.21	$1,074.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.56 / $166.56 / $166.56	Professional		$166.56	$166.56	$166.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $239.76 / $3,442.17 / $5,875.77	Facility		$239.76	$3,442.17	$5,875.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $1,050.44 / $4,916.00	Professional		$137.94	$1,050.44	$4,916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.49 / $870.49 / $2,083.48	Facility		$870.49	$870.49	$2,083.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.67 / $364.82 / $1,794.60	Professional		$107.67	$364.82	$1,794.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $114.66 / $691.61 / $1,707.38	Facility		$114.66	$691.61	$1,707.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.68 / $582.90 / $1,647.42	Professional		$110.68	$582.90	$1,647.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $1,140.45 / $1,982.24	Professional		$193.76	$1,140.45	$1,982.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $613.60 / $1,096.70 / $1,335.98	Facility		$613.60	$1,096.70	$1,335.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $777.35 / $777.35 / $911.26	Facility		$777.35	$777.35	$911.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.66 / $775.56 / $1,568.08	Professional		$148.66	$775.56	$1,568.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,819.55 / $4,348.10 / $8,317.42	Facility		$2,819.55	$4,348.10	$8,317.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $136.46 / $342.73 / $1,490.02	Professional		$136.46	$342.73	$1,490.02
United Facility/Professional Facility Modifier Low / Median / High Price $929.00 / $1,681.00 / $6,857.00	Facility		$929.00	$1,681.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $641.08 / $958.50 / $1,789.30	Professional		$641.08	$958.50	$1,789.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.05 / $566.22 / $797.12	Professional		$97.05	$566.22	$797.12