Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.14 / $3,171.79 / $13,095.40	Facility		$788.14	$3,171.79	$13,095.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.33 / $596.15 / $1,387.01	Professional		$372.33	$596.15	$1,387.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $753.58 / $798.61 / $798.61	Professional		$753.58	$798.61	$798.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $749.59 / $3,143.37 / $26,542.00	Facility		$749.59	$3,143.37	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $681.06 / $1,159.09 / $4,088.00	Professional		$681.06	$1,159.09	$4,088.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $899.91 / $1,499.24	Facility		$714.97	$899.91	$1,499.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.59 / $886.85 / $1,585.24	Professional		$474.59	$886.85	$1,585.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $500.34 / $914.97 / $1,426.55	Facility		$500.34	$914.97	$1,426.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $482.50 / $865.65 / $1,359.49	Professional		$482.50	$865.65	$1,359.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.66 / $219.84 / $1,216.89	Professional		$40.66	$219.84	$1,216.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $689.06 / $1,024.96 / $1,122.25	Facility		$689.06	$1,024.96	$1,122.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $749.59 / $765.48 / $929.09	Facility		$749.59	$765.48	$929.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $693.44 / $1,014.46 / $1,453.96	Professional		$693.44	$1,014.46	$1,453.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,554.42 / $3,344.18 / $6,397.05	Facility		$2,554.42	$3,344.18	$6,397.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $688.20 / $959.20 / $1,303.22	Professional		$688.20	$959.20	$1,303.22
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 $567.69 / $919.06 / $1,587.46	Professional		$567.69	$919.06	$1,587.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $465.73 / $470.99 / $621.34	Professional		$465.73	$470.99	$621.34