Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.27 / $2,323.00 / $9,905.54	Facility		$317.27	$2,323.00	$9,905.54
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $119.40 / $254.49 / $748.37	Facility	52	$119.40	$254.49	$748.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.28 / $380.11 / $1,339.39	Professional		$169.28	$380.11	$1,339.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.13 / $235.95 / $339.60	Professional		$154.13	$235.95	$339.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,076.26 / $5,068.58 / $16,394.00	Facility		$1,076.26	$5,068.58	$16,394.00
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $354.13 / $634.61 / $634.61	Facility	52	$354.13	$634.61	$634.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $277.87 / $1,088.89 / $4,363.52	Professional		$277.87	$1,088.89	$4,363.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $2,046.84	Facility		$625.25	$761.81	$2,046.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.11 / $522.42 / $1,675.72	Professional		$229.11	$522.42	$1,675.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $235.20 / $505.96 / $1,856.79	Facility		$235.20	$505.96	$1,856.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.86 / $455.75 / $1,558.28	Professional		$223.86	$455.75	$1,558.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $150.72 / $930.05 / $1,578.09	Professional		$150.72	$930.05	$1,578.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $330.24 / $1,053.72 / $1,187.24	Facility		$330.24	$1,053.72	$1,187.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $726.69 / $838.05 / $1,167.02	Facility		$726.69	$838.05	$1,167.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.05 / $577.51 / $1,559.96	Professional		$280.05	$577.51	$1,559.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,496.71 / $5,392.38 / $10,315.01	Facility		$3,496.71	$5,392.38	$10,315.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $288.51 / $564.78 / $1,371.53	Professional		$288.51	$564.78	$1,371.53
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 $294.11 / $957.58 / $1,704.31	Professional		$294.11	$957.58	$1,704.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $183.57 / $475.94 / $657.12	Professional		$183.57	$475.94	$657.12