Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.14 / $1,535.81 / $12,246.20	Facility		$334.14	$1,535.81	$12,246.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.87 / $469.17 / $1,043.72	Professional		$167.87	$469.17	$1,043.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $315.89 / $315.89 / $3,975.13	Professional		$315.89	$315.89	$3,975.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,276.20 / $7,780.40 / $12,000.00	Facility		$1,276.20	$7,780.40	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $290.25 / $1,021.87 / $4,108.64	Professional		$290.25	$1,021.87	$4,108.64
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 $233.49 / $551.85 / $1,568.12	Professional		$233.49	$551.85	$1,568.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $250.06 / $654.54 / $2,495.04	Facility		$250.06	$654.54	$2,495.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.12 / $550.30 / $1,659.26	Professional		$241.12	$550.30	$1,659.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $630.29 / $1,306.36	Professional		$48.61	$630.29	$1,306.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $406.09 / $1,014.38 / $1,118.90	Facility		$406.09	$1,014.38	$1,118.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $756.06 / $929.09 / $1,915.04	Facility		$756.06	$929.09	$1,915.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.44 / $730.63 / $1,432.77	Professional		$298.44	$730.63	$1,432.77
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 $303.52 / $675.99 / $1,292.58	Professional		$303.52	$675.99	$1,292.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,038.00 / $9,506.99 / $14,042.73	Facility		$2,038.00	$9,506.99	$14,042.73
United Facility/Professional Professional Modifier Low / Median / High Price $576.46 / $910.80 / $1,573.20	Professional		$576.46	$910.80	$1,573.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $197.43 / $457.44 / $632.70	Professional		$197.43	$457.44	$632.70