Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.83 / $3,135.00 / $13,409.00	Facility		$657.83	$3,135.00	$13,409.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.14 / $522.54 / $1,340.17	Professional		$317.14	$522.54	$1,340.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $324.62 / $324.62 / $635.20	Professional		$324.62	$324.62	$635.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,208.98 / $7,479.17 / $26,542.00	Facility		$1,208.98	$7,479.17	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $570.30 / $1,035.17 / $3,837.36	Professional		$570.30	$1,035.17	$3,837.36
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 $422.23 / $784.65 / $1,473.19	Professional		$422.23	$784.65	$1,473.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $449.62 / $838.35 / $2,495.04	Facility		$449.62	$838.35	$2,495.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $433.37 / $780.54 / $1,522.06	Professional		$433.37	$780.54	$1,522.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.67 / $612.95 / $1,244.26	Professional		$48.67	$612.95	$1,244.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $683.40 / $957.52 / $1,048.55	Facility		$683.40	$957.52	$1,048.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $714.83 / $929.09 / $1,915.04	Facility		$714.83	$929.09	$1,915.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.79 / $898.01 / $1,361.71	Professional		$590.79	$898.01	$1,361.71
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 $595.91 / $844.91 / $1,215.22	Professional		$595.91	$844.91	$1,215.22
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 $557.41 / $877.91 / $1,494.69	Professional		$557.41	$877.91	$1,494.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $386.96 / $432.60 / $579.54	Professional		$386.96	$432.60	$579.54