Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.06 / $3,485.09 / $8,882.37	Facility		$314.06	$3,485.09	$8,882.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.84 / $288.20 / $570.12	Professional		$194.84	$288.20	$570.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $248.65 / $273.24 / $594.41	Professional		$248.65	$273.24	$594.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $872.72 / $4,538.57 / $11,742.64	Facility		$872.72	$4,538.57	$11,742.64
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $47.51 / $85.53 / $85.53	Facility	AS	$47.51	$85.53	$85.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $303.45 / $497.65 / $1,920.83	Professional		$303.45	$497.65	$1,920.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,497.91 / $1,497.91 / $1,497.91	Facility		$1,497.91	$1,497.91	$1,497.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $456.22 / $661.33	Professional		$272.00	$456.22	$661.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $267.79 / $453.47 / $1,313.62	Facility		$267.79	$453.47	$1,313.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.58 / $432.95 / $686.25	Professional		$275.58	$432.95	$686.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.24 / $292.83 / $531.83	Professional		$49.24	$292.83	$531.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $307.66 / $428.72 / $550.20	Facility		$307.66	$428.72	$550.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.45 / $303.45 / $303.95	Facility		$303.45	$303.45	$303.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.75 / $442.52 / $556.23	Professional		$300.75	$442.52	$556.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,727.91 / $4,437.85 / $8,681.78	Facility		$2,727.91	$4,437.85	$8,681.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $408.03 / $527.38	Professional		$310.00	$408.03	$527.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $7,385.00	Facility		$1,120.00	$3,323.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $281.60 / $428.79 / $642.87	Professional		$281.60	$428.79	$642.87