Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.82 / $780.12 / $11,522.02	Facility		$320.82	$780.12	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.62 / $275.14 / $705.04	Professional		$155.62	$275.14	$705.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.19 / $579.64 / $579.64	Professional		$166.19	$579.64	$579.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,221.24 / $7,780.40 / $12,000.00	Facility		$1,221.24	$7,780.40	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $278.94 / $601.63 / $2,315.04	Professional		$278.94	$601.63	$2,315.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $3,311.26	Facility		$466.83	$568.48	$3,311.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.23 / $431.30 / $877.44	Professional		$221.23	$431.30	$877.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $223.99 / $421.32 / $2,495.04	Facility		$223.99	$421.32	$2,495.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.30 / $401.28 / $921.81	Professional		$216.30	$401.28	$921.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.52 / $343.74 / $710.90	Professional		$48.52	$343.74	$710.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $333.66 / $536.94 / $631.80	Facility		$333.66	$536.94	$631.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.73 / $929.09 / $1,915.04	Facility		$426.73	$929.09	$1,915.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.82 / $471.74 / $804.17	Professional		$286.82	$471.74	$804.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,159.74 / $7,956.97 / $15,220.78	Facility		$5,159.74	$7,956.97	$15,220.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $291.29 / $484.88 / $722.88	Professional		$291.29	$484.88	$722.88
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 $296.39 / $505.81 / $908.54	Professional		$296.39	$505.81	$908.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $187.94 / $258.39 / $348.55	Professional		$187.94	$258.39	$348.55