Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.68 / $1,710.00 / $9,703.00	Facility		$217.68	$1,710.00	$9,703.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.43 / $291.13 / $672.79	Professional		$126.43	$291.13	$672.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.98 / $116.86 / $214.91	Professional		$112.98	$116.86	$214.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $695.10 / $3,269.98 / $12,000.00	Facility		$695.10	$3,269.98	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $198.88 / $553.53 / $2,214.71	Professional		$198.88	$553.53	$2,214.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,499.24	Facility		$466.83	$568.48	$1,499.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.63 / $343.91 / $840.02	Professional		$161.63	$343.91	$840.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $182.88 / $409.01 / $1,059.06	Facility		$182.88	$409.01	$1,059.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.79 / $343.42 / $874.53	Professional		$171.79	$343.42	$874.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.87 / $492.17 / $835.99	Professional		$79.87	$492.17	$835.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $321.99 / $540.69 / $607.69	Facility		$321.99	$540.69	$607.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $409.93 / $420.93 / $874.44	Facility		$409.93	$420.93	$874.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.46 / $395.84 / $778.68	Professional		$195.46	$395.84	$778.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,168.55 / $3,344.18 / $6,397.05	Facility		$2,168.55	$3,344.18	$6,397.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $203.34 / $417.01 / $694.28	Professional		$203.34	$417.01	$694.28
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 $311.76 / $484.74 / $868.94	Professional		$311.76	$484.74	$868.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.33 / $244.60 / $334.70	Professional		$126.33	$244.60	$334.70