Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.85 / $2,064.40 / $10,122.46	Facility		$224.85	$2,064.40	$10,122.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.61 / $195.38 / $520.04	Professional		$107.61	$195.38	$520.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $115.86 / $222.98	Professional		$115.86	$115.86	$222.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $817.73 / $3,342.27 / $12,000.00	Facility		$817.73	$3,342.27	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $193.86 / $485.47 / $1,854.72	Professional		$193.86	$485.47	$1,854.72
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 $151.88 / $319.52 / $706.58	Professional		$151.88	$319.52	$706.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $153.08 / $303.73 / $1,059.06	Facility		$153.08	$303.73	$1,059.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.06 / $291.81 / $722.94	Professional		$150.06	$291.81	$722.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.58 / $255.71 / $578.88	Professional		$42.58	$255.71	$578.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $259.92 / $410.50 / $506.52	Facility		$259.92	$410.50	$506.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $345.19 / $552.13 / $929.09	Facility		$345.19	$552.13	$929.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.55 / $345.49 / $643.67	Professional		$201.55	$345.49	$643.67
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 $204.13 / $363.75 / $574.17	Professional		$204.13	$363.75	$574.17
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 $174.00 / $339.30 / $720.09	Professional		$174.00	$339.30	$720.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $133.35 / $206.22 / $282.13	Professional		$133.35	$206.22	$282.13