Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.64 / $1,279.22 / $11,522.02	Facility		$631.64	$1,279.22	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.32 / $481.09 / $1,067.91	Professional		$292.32	$481.09	$1,067.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $615.54 / $705.15 / $705.15	Professional		$615.54	$705.15	$705.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $327.60 / $7,407.47 / $16,394.00	Facility		$327.60	$7,407.47	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $538.21 / $964.95 / $3,522.00	Professional		$538.21	$964.95	$3,522.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,311.26	Facility		$625.25	$761.81	$3,311.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.82 / $740.49 / $1,346.26	Professional		$390.82	$740.49	$1,346.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $399.59 / $741.17 / $2,495.04	Facility		$399.59	$741.17	$2,495.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $398.93 / $717.72 / $1,436.58	Professional		$398.93	$717.72	$1,436.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $544.22 / $1,151.17	Professional		$49.05	$544.22	$1,151.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $567.32 / $854.92 / $960.11	Facility		$567.32	$854.92	$960.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $649.60 / $929.09 / $1,915.04	Facility		$649.60	$929.09	$1,915.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.01 / $846.00 / $1,243.76	Professional		$562.01	$846.00	$1,243.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,324.56 / $7,956.97 / $15,220.78	Facility		$5,324.56	$7,956.97	$15,220.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $559.04 / $787.64 / $1,109.14	Professional		$559.04	$787.64	$1,109.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,038.00 / $10,522.00	Facility		$1,100.00	$2,038.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $463.16 / $795.01 / $1,360.39	Professional		$463.16	$795.01	$1,360.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $381.16 / $396.16 / $538.61	Professional		$381.16	$396.16	$538.61