Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.70 / $3,810.00 / $14,464.32	Facility		$541.70	$3,810.00	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.65 / $359.53 / $806.96	Professional		$206.65	$359.53	$806.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $545.74 / $545.74 / $545.74	Professional		$545.74	$545.74	$545.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,920.96 / $10,512.09	Facility		$55.00	$6,920.96	$10,512.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $381.24 / $798.24 / $2,975.33	Professional		$381.24	$798.24	$2,975.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $3,311.26	Facility		$500.00	$870.49	$3,311.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.56 / $525.26 / $1,036.20	Professional		$278.56	$525.26	$1,036.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $276.20 / $518.87 / $2,495.04	Facility		$276.20	$518.87	$2,495.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.43 / $485.59 / $1,073.43	Professional		$275.43	$485.59	$1,073.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.85 / $328.44 / $844.70	Professional		$39.85	$328.44	$844.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $403.10 / $591.61 / $688.76	Facility		$403.10	$591.61	$688.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $460.25 / $469.80 / $1,915.04	Facility		$460.25	$469.80	$1,915.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.57 / $775.36 / $935.85	Professional		$483.57	$775.36	$935.85
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 $543.55 / $672.17 / $883.05	Professional		$543.55	$672.17	$883.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,431.00 / $8,535.00	Facility		$1,100.00	$2,431.00	$8,535.00
United Facility/Professional Professional Modifier Low / Median / High Price $332.99 / $555.13 / $968.05	Professional		$332.99	$555.13	$968.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $287.11 / $381.81 / $381.81	Professional		$287.11	$381.81	$381.81