Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.92 / $1,733.00 / $14,464.32	Facility		$259.92	$1,733.00	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.95 / $444.33 / $1,011.62	Professional		$118.95	$444.33	$1,011.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.82 / $146.82 / $146.82	Professional		$146.82	$146.82	$146.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $791.98 / $1,044.08	Facility		$55.00	$791.98	$1,044.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $229.40 / $1,069.44 / $4,264.96	Professional		$229.40	$1,069.44	$4,264.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.92 / $896.25 / $1,771.42	Professional		$213.92	$896.25	$1,771.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $203.68 / $641.39 / $1,895.92	Facility		$203.68	$641.39	$1,895.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.46 / $641.39 / $1,895.92	Professional		$225.46	$641.39	$1,895.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $139.17 / $849.08 / $1,408.32	Professional		$139.17	$849.08	$1,408.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $241.87 / $1,104.93 / $1,344.36	Facility		$241.87	$1,104.93	$1,344.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $791.98 / $791.98 / $826.73	Facility		$791.98	$791.98	$826.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.25 / $472.56 / $1,451.73	Professional		$244.25	$472.56	$1,451.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $229.40 / $436.26 / $1,341.34	Professional		$229.40	$436.26	$1,341.34
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $6,216.00	Facility		$497.00	$1,078.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $865.04 / $1,179.59 / $1,801.76	Professional		$865.04	$1,179.59	$1,801.76