Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.38 / $1,924.24 / $13,809.00	Facility		$331.38	$1,924.24	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.93 / $592.54 / $1,321.76	Professional		$194.93	$592.54	$1,321.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.29 / $190.29 / $190.29	Professional		$190.29	$190.29	$190.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,352.88 / $9,032.98 / $17,279.07	Facility		$1,352.88	$9,032.98	$17,279.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $323.20 / $1,398.66 / $5,613.84	Professional		$323.20	$1,398.66	$5,613.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,783.45 / $4,783.45 / $4,783.45	Facility		$4,783.45	$4,783.45	$4,783.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.77 / $839.92 / $2,327.69	Professional		$289.77	$839.92	$2,327.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $287.76 / $1,084.08 / $3,024.02	Facility		$287.76	$1,084.08	$3,024.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $285.66 / $856.86 / $2,343.98	Professional		$285.66	$856.86	$2,343.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.22 / $873.21 / $1,640.66	Professional		$97.22	$873.21	$1,640.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $360.46 / $1,383.96 / $1,651.04	Facility		$360.46	$1,383.96	$1,651.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.50 / $1,041.50 / $1,099.88	Facility		$1,041.50	$1,041.50	$1,099.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.19 / $598.20 / $1,909.12	Professional		$309.19	$598.20	$1,909.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,857.48 / $9,027.82 / $17,279.07	Facility		$5,857.48	$9,027.82	$17,279.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $303.16 / $552.26 / $1,763.95	Professional		$303.16	$552.26	$1,763.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,594.00 / $12,835.00	Facility		$2,155.00	$6,594.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $986.85 / $1,263.83 / $2,265.05	Professional		$986.85	$1,263.83	$2,265.05