Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $591.37 / $1,321.59 / $14,464.32	Facility		$591.37	$1,321.59	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.50 / $471.62 / $1,145.92	Professional		$282.50	$471.62	$1,145.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,975.13 / $3,975.13 / $3,975.13	Professional		$3,975.13	$3,975.13	$3,975.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,641.35 / $7,780.40 / $26,542.00	Facility		$1,641.35	$7,780.40	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $510.39 / $954.09 / $3,530.88	Professional		$510.39	$954.09	$3,530.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $918.00 / $3,311.26	Facility		$714.97	$918.00	$3,311.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.63 / $702.21 / $1,347.33	Professional		$380.63	$702.21	$1,347.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $400.68 / $749.31 / $2,495.04	Facility		$400.68	$749.31	$2,495.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $390.06 / $716.76 / $1,436.58	Professional		$390.06	$716.76	$1,436.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.68 / $559.86 / $1,125.10	Professional		$48.68	$559.86	$1,125.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $579.28 / $883.76 / $965.47	Facility		$579.28	$883.76	$965.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $656.85 / $929.09 / $1,915.04	Facility		$656.85	$929.09	$1,915.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $530.44 / $806.71 / $1,253.81	Professional		$530.44	$806.71	$1,253.81
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 $535.33 / $775.75 / $1,118.94	Professional		$535.33	$775.75	$1,118.94
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 $491.54 / $817.20 / $1,391.27	Professional		$491.54	$817.20	$1,391.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $351.09 / $400.29 / $538.14	Professional		$351.09	$400.29	$538.14