Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.28 / $4,421.32 / $11,522.02	Facility		$384.28	$4,421.32	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.95 / $536.86 / $4,824.34	Professional		$288.95	$536.86	$4,824.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $219.46 / $321.87 / $517.79	Professional		$219.46	$321.87	$517.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,342.27 / $4,418.06	Facility		$55.00	$3,342.27	$4,418.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $453.56 / $4,384.97 / $17,828.88	Professional		$453.56	$4,384.97	$17,828.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $1,499.24	Facility		$500.00	$870.49	$1,499.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.00 / $802.86 / $7,267.25	Professional		$356.00	$802.86	$7,267.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $396.00 / $1,307.94 / $7,089.73	Facility		$396.00	$1,307.94	$7,089.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $352.38 / $1,314.78 / $7,089.73	Professional		$352.38	$1,314.78	$7,089.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $618.77 / $3,811.90 / $6,498.55	Professional		$618.77	$3,811.90	$6,498.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,048.00 / $4,551.68 / $5,773.88	Facility		$1,048.00	$4,551.68	$5,773.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.13 / $1,168.10 / $3,515.73	Facility		$552.13	$1,168.10	$3,515.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.19 / $889.76 / $6,576.48	Professional		$440.19	$889.76	$6,576.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,298.89 / $3,344.18 / $6,397.05	Facility		$2,298.89	$3,344.18	$6,397.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $458.84 / $869.15 / $5,834.17	Professional		$458.84	$869.15	$5,834.17
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 $788.64 / $4,642.39 / $7,807.54	Professional		$788.64	$4,642.39	$7,807.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $279.89 / $1,906.25 / $2,689.48	Professional		$279.89	$1,906.25	$2,689.48