Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.39 / $1,733.00 / $20,680.40	Facility		$287.39	$1,733.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.21 / $484.58 / $941.26	Professional		$163.21	$484.58	$941.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.18 / $275.18 / $275.18	Professional		$275.18	$275.18	$275.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $637.52 / $767.74	Facility		$55.00	$637.52	$767.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $273.70 / $890.01 / $4,612.10	Professional		$273.70	$890.01	$4,612.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.23 / $766.28 / $1,434.00	Professional		$251.23	$766.28	$1,434.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $256.76 / $622.48 / $1,768.04	Facility		$256.76	$622.48	$1,768.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.67 / $622.48 / $1,761.18	Professional		$258.67	$622.48	$1,761.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.80 / $736.57 / $1,210.26	Professional		$118.80	$736.57	$1,210.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $329.64 / $934.65 / $1,349.40	Facility		$329.64	$934.65	$1,349.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $637.52 / $637.52 / $659.57	Facility		$637.52	$637.52	$659.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.41 / $527.04 / $1,168.58	Professional		$272.41	$527.04	$1,168.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,162.15 / $7,162.15 / $9,023.21	Facility		$7,162.15	$7,162.15	$9,023.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $260.76 / $486.56 / $1,083.22	Professional		$260.76	$486.56	$1,083.22
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 $324.72 / $1,000.54 / $1,445.32	Professional		$324.72	$1,000.54	$1,445.32