Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.12 / $599.84 / $9,703.00	Facility		$207.12	$599.84	$9,703.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.29 / $216.36 / $587.41	Professional		$108.29	$216.36	$587.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $196.42 / $196.42 / $391.35	Professional		$196.42	$196.42	$391.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $781.32 / $4,062.29 / $12,000.00	Facility		$781.32	$4,062.29	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $176.41 / $417.12 / $1,605.28	Professional		$176.41	$417.12	$1,605.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,557.08	Facility		$466.83	$568.48	$1,557.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.44 / $294.41 / $612.35	Professional		$142.44	$294.41	$612.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $148.80 / $292.30 / $1,365.50	Facility		$148.80	$292.30	$1,365.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.51 / $280.52 / $675.54	Professional		$145.51	$280.52	$675.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $181.46 / $477.16	Professional		$37.44	$181.46	$477.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $208.37 / $386.59 / $436.84	Facility		$208.37	$386.59	$436.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $297.95 / $385.63 / $916.41	Facility		$297.95	$385.63	$916.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.83 / $302.35 / $567.30	Professional		$183.83	$302.35	$567.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,802.50 / $4,321.81 / $8,267.12	Facility		$2,802.50	$4,321.81	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $185.11 / $315.24 / $504.65	Professional		$185.11	$315.24	$504.65
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.69 / $361.18 / $668.57	Professional		$224.69	$361.18	$668.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $122.76 / $175.58 / $242.73	Professional		$122.76	$175.58	$242.73