Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.70 / $5,128.00 / $18,711.00	Facility		$472.70	$5,128.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.35 / $472.70 / $970.01	Professional		$345.35	$472.70	$970.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $284.38 / $284.38 / $284.38	Professional		$284.38	$284.38	$284.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,700.71 / $9,032.98 / $23,371.01	Facility		$5,700.71	$9,032.98	$23,371.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $520.73 / $873.42 / $3,248.40	Professional		$520.73	$873.42	$3,248.40
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 $494.98 / $737.39 / $1,101.98	Professional		$494.98	$737.39	$1,101.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $519.72 / $825.75 / $6,901.60	Facility		$519.72	$825.75	$6,901.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $519.72 / $816.51 / $2,378.91	Professional		$519.72	$816.51	$2,378.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.02 / $432.75 / $779.12	Professional		$53.02	$432.75	$779.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $546.61 / $705.37 / $749.36	Facility		$546.61	$705.37	$749.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $499.21 / $499.21 / $505.90	Facility		$499.21	$499.21	$505.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $531.66 / $837.75 / $1,004.16	Professional		$531.66	$837.75	$1,004.16
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 $509.12 / $727.74 / $980.25	Professional		$509.12	$727.74	$980.25
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 $466.98 / $720.39 / $1,075.13	Professional		$466.98	$720.39	$1,075.13