Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.24 / $1,023.55 / $14,464.32	Facility		$307.24	$1,023.55	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.34 / $309.58 / $893.71	Professional		$166.34	$309.58	$893.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $147.60 / $147.60	Professional		$147.60	$147.60	$147.60
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 Professional Modifier Low / Median / High Price $271.42 / $835.83 / $3,314.00	Professional		$271.42	$835.83	$3,314.00
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 $221.96 / $484.85 / $1,259.00	Professional		$221.96	$484.85	$1,259.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $235.20 / $447.85 / $1,658.81	Facility		$235.20	$447.85	$1,658.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.89 / $432.02 / $1,308.67	Professional		$216.89	$432.02	$1,308.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $115.46 / $710.22 / $1,208.14	Professional		$115.46	$710.22	$1,208.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $328.86 / $808.16 / $901.15	Facility		$328.86	$808.16	$901.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.66 / $632.84 / $1,167.02	Facility		$614.66	$632.84	$1,167.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.42 / $559.29 / $1,175.81	Professional		$271.42	$559.29	$1,175.81
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 $279.62 / $547.20 / $1,027.77	Professional		$279.62	$547.20	$1,027.77
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 $333.35 / $741.01 / $1,312.12	Professional		$333.35	$741.01	$1,312.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $177.45 / $364.41 / $498.68	Professional		$177.45	$364.41	$498.68