Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.44 / $1,309.79 / $12,214.00	Facility		$296.44	$1,309.79	$12,214.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $135.99 / $292.55 / $903.27	Facility	52	$135.99	$292.55	$903.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.21 / $401.17 / $1,197.82	Professional		$220.21	$401.17	$1,197.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.84 / $183.84 / $187.45	Professional		$183.84	$183.84	$187.45
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 $406.10 / $718.14 / $718.14	Facility	52	$406.10	$718.14	$718.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $1,157.08 / $4,612.72	Professional		$336.00	$1,157.08	$4,612.72
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 $270.04 / $595.85 / $1,766.72	Professional		$270.04	$595.85	$1,766.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $294.50 / $658.13 / $1,903.69	Facility		$294.50	$658.13	$1,903.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.89 / $641.34 / $1,681.75	Professional		$275.89	$641.34	$1,681.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $159.74 / $984.35 / $1,671.99	Professional		$159.74	$984.35	$1,671.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $485.01 / $1,113.54 / $1,263.61	Facility		$485.01	$1,113.54	$1,263.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $726.69 / $882.44 / $1,167.02	Facility		$726.69	$882.44	$1,167.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.02 / $704.58 / $1,634.36	Professional		$325.02	$704.58	$1,634.36
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 $333.77 / $645.00 / $1,445.83	Professional		$333.77	$645.00	$1,445.83
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 $455.41 / $1,102.70 / $1,823.83	Professional		$455.41	$1,102.70	$1,823.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.65 / $501.06 / $690.88	Professional		$208.65	$501.06	$690.88