Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.43 / $2,740.18 / $9,332.49	Facility		$354.43	$2,740.18	$9,332.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.15 / $377.40 / $1,111.09	Professional		$191.15	$377.40	$1,111.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.00 / $265.08 / $383.35	Professional		$174.00	$265.08	$383.35
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 $319.06 / $917.62 / $3,654.56	Professional		$319.06	$917.62	$3,654.56
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 $256.39 / $533.09 / $1,384.96	Professional		$256.39	$533.09	$1,384.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $273.60 / $516.60 / $1,658.81	Facility		$273.60	$516.60	$1,658.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.51 / $502.68 / $1,308.67	Professional		$250.51	$502.68	$1,308.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $124.14 / $766.31 / $1,299.84	Professional		$124.14	$766.31	$1,299.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $385.92 / $888.81 / $990.93	Facility		$385.92	$888.81	$990.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $675.90 / $693.54 / $1,167.02	Facility		$675.90	$693.54	$1,167.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.00 / $642.67 / $1,290.88	Professional		$312.00	$642.67	$1,290.88
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 $321.31 / $629.61 / $1,144.75	Professional		$321.31	$629.61	$1,144.75
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,436.00 / $4,271.00	Facility		$650.00	$1,436.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $347.42 / $801.23 / $1,440.54	Professional		$347.42	$801.23	$1,440.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $203.91 / $399.47 / $546.04	Professional		$203.91	$399.47	$546.04