Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.73 / $1,189.96 / $18,711.00	Facility		$650.73	$1,189.96	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.33 / $519.59 / $1,189.96	Professional		$316.33	$519.59	$1,189.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $644.78 / $644.78 / $644.78	Professional		$644.78	$644.78	$644.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,140.42 / $8,552.21 / $26,542.00	Facility		$1,140.42	$8,552.21	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $552.61 / $1,073.90 / $4,039.28	Professional		$552.61	$1,073.90	$4,039.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $918.00 / $3,302.92	Facility		$714.97	$918.00	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.13 / $770.40 / $1,525.87	Professional		$418.13	$770.40	$1,525.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $434.62 / $816.67 / $2,793.98	Facility		$434.62	$816.67	$2,793.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.46 / $779.84 / $1,614.67	Professional		$432.46	$779.84	$1,614.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $624.64 / $1,263.46	Professional		$48.66	$624.64	$1,263.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.77 / $930.73 / $1,090.76	Facility		$602.77	$930.73	$1,090.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $740.66 / $904.15 / $1,781.59	Facility		$740.66	$904.15	$1,781.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $578.05 / $890.52 / $1,416.52	Professional		$578.05	$890.52	$1,416.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,118.81 / $17,453.22	Facility		$5,916.52	$9,118.81	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $583.14 / $874.73 / $1,260.07	Professional		$583.14	$874.73	$1,260.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,173.26 / $2,542.00 / $5,519.00	Facility		$1,173.26	$2,542.00	$5,519.00
United Facility/Professional Professional Modifier Low / Median / High Price $542.42 / $829.92 / $1,558.00	Professional		$542.42	$829.92	$1,558.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $386.60 / $448.05 / $607.98	Professional		$386.60	$448.05	$607.98