Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.51 / $4,260.42 / $8,071.34	Facility		$171.51	$4,260.42	$8,071.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.09 / $268.20 / $574.41	Professional		$87.09	$268.20	$574.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.83 / $149.91 / $155.66	Professional		$138.83	$149.91	$155.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $539.26 / $4,318.66 / $12,000.00	Facility		$539.26	$4,318.66	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $147.52 / $559.66 / $2,242.03	Professional		$147.52	$559.66	$2,242.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,677.65	Facility		$466.83	$568.48	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.47 / $286.88 / $845.05	Professional		$118.47	$286.88	$845.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $133.32 / $409.50 / $1,436.99	Facility		$133.32	$409.50	$1,436.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.23 / $306.95 / $948.94	Professional		$124.23	$306.95	$948.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.87 / $492.17 / $835.99	Professional		$79.87	$492.17	$835.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $353.11 / $578.55 / $665.60	Facility		$353.11	$578.55	$665.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $408.10 / $526.74 / $988.05	Facility		$408.10	$526.74	$988.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.41 / $348.30 / $787.33	Professional		$143.41	$348.30	$787.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,979.36 / $4,594.55 / $8,788.86	Facility		$2,979.36	$4,594.55	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $148.74 / $410.15 / $693.41	Professional		$148.74	$410.15	$693.41
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 $336.30 / $531.00 / $878.60	Professional		$336.30	$531.00	$878.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $90.86 / $242.67 / $335.53	Professional		$90.86	$242.67	$335.53