Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $968.05 / $10,650.00 / $14,684.01	Facility		$968.05	$10,650.00	$14,684.01
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $85.33 / $193.61 / $590.87	Facility	53	$85.33	$193.61	$590.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.77 / $952.90 / $2,534.64	Professional		$339.77	$952.90	$2,534.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $293.95 / $575.20 / $864.01	Professional		$293.95	$575.20	$864.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,904.90 / $9,032.98 / $23,371.01	Facility		$1,904.90	$9,032.98	$23,371.01
Asuris Northwest Health Facility/Professional Facility Modifier 53 Low / Median / High Price $165.83 / $297.92 / $297.92	Facility	53	$165.83	$297.92	$297.92
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $82.92 / $148.96 / $148.96	Facility	AS	$82.92	$148.96	$148.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $566.47 / $1,828.44 / $7,664.36	Professional		$566.47	$1,828.44	$7,664.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,763.00 / $3,763.00 / $3,763.00	Facility		$3,763.00	$3,763.00	$3,763.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.32 / $1,082.58 / $2,919.70	Professional		$520.32	$1,082.58	$2,919.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $530.28 / $1,686.26 / $3,230.62	Facility		$530.28	$1,686.26	$3,230.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.49 / $1,315.64 / $2,849.91	Professional		$525.49	$1,315.64	$2,849.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $1,100.05 / $2,095.21	Professional		$148.13	$1,100.05	$2,095.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $679.80 / $1,822.13 / $2,194.90	Facility		$679.80	$1,822.13	$2,194.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,313.42 / $1,313.42 / $1,388.45	Facility		$1,313.42	$1,313.42	$1,388.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $563.78 / $1,090.77 / $2,407.55	Professional		$563.78	$1,090.77	$2,407.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,484.59 / $9,027.82 / $17,279.07	Facility		$6,484.59	$9,027.82	$17,279.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $544.84 / $1,007.00 / $2,224.48	Professional		$544.84	$1,007.00	$2,224.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,295.00 / $11,941.00	Facility		$2,155.00	$6,295.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,346.84 / $1,897.82 / $2,984.47	Professional		$1,346.84	$1,897.82	$2,984.47