Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.18 / $937.76 / $17,100.00	Facility		$349.18	$937.76	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.90 / $335.24 / $717.71	Professional		$229.90	$335.24	$717.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $249.25 / $249.25 / $249.25	Professional		$249.25	$249.25	$249.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,782.84 / $10,802.03 / $20,663.07	Facility		$1,782.84	$10,802.03	$20,663.07
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $10,306.59 / $16,203.05 / $31,346.52	Facility	50	$10,306.59	$16,203.05	$31,346.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $442.34 / $718.72 / $2,466.08	Professional		$442.34	$718.72	$2,466.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,186.71 / $2,186.71 / $3,643.05	Facility		$2,186.71	$2,186.71	$3,643.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.04 / $626.50 / $1,012.26	Professional		$393.04	$626.50	$1,012.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $318.06 / $598.29 / $3,225.00	Facility		$318.06	$598.29	$3,225.00
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $6,300.19 / $9,505.52 / $22,870.24	Facility	50	$6,300.19	$9,505.52	$22,870.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $341.16 / $582.28 / $1,054.68	Professional		$341.16	$582.28	$1,054.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.93 / $387.38 / $767.34	Professional		$49.93	$387.38	$767.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $414.15 / $621.60 / $683.40	Facility		$414.15	$621.60	$683.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $458.89 / $463.86 / $1,239.50	Facility		$458.89	$463.86	$1,239.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.52 / $610.12 / $856.19	Professional		$442.52	$610.12	$856.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,004.63 / $10,795.86 / $20,663.07	Facility		$7,004.63	$10,795.86	$20,663.07
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,506.95 / $16,193.79 / $30,994.61	Facility	50	$10,506.95	$16,193.79	$30,994.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $411.95 / $584.82 / $790.41	Professional		$411.95	$584.82	$790.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $413.59 / $667.15 / $979.03	Professional		$413.59	$667.15	$979.03