Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.22 / $1,913.97 / $14,464.32	Facility		$405.22	$1,913.97	$14,464.32
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $152.21 / $327.08 / $902.68	Facility	52	$152.21	$327.08	$902.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.46 / $647.96 / $1,341.76	Professional		$224.46	$647.96	$1,341.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.11 / $105.11 / $210.23	Professional		$105.11	$105.11	$210.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,028.31 / $3,598.00 / $7,123.96	Facility		$1,028.31	$3,598.00	$7,123.96
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $454.15 / $805.34 / $805.34	Facility	52	$454.15	$805.34	$805.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $368.29 / $1,290.72 / $5,373.76	Professional		$368.29	$1,290.72	$5,373.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $2,717.37	Facility		$500.00	$870.49	$2,717.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.24 / $679.56 / $2,045.10	Professional		$300.24	$679.56	$2,045.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $316.94 / $931.64 / $2,067.52	Facility		$316.94	$931.64	$2,067.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.10 / $694.23 / $1,920.80	Professional		$308.10	$694.23	$1,920.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.36 / $1,187.72 / $2,019.14	Professional		$193.36	$1,187.72	$2,019.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $697.26 / $1,363.45 / $1,475.34	Facility		$697.26	$1,363.45	$1,475.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $726.69 / $1,028.31 / $1,512.80	Facility		$726.69	$1,028.31	$1,512.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.78 / $855.13 / $1,905.17	Professional		$363.78	$855.13	$1,905.17
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 $377.89 / $952.00 / $1,670.04	Professional		$377.89	$952.00	$1,670.04
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 $793.64 / $1,200.64 / $2,126.04	Professional		$793.64	$1,200.64	$2,126.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $233.53 / $583.61 / $805.35	Professional		$233.53	$583.61	$805.35