Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.63 / $2,291.00 / $8,800.66	Facility		$150.63	$2,291.00	$8,800.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.79 / $160.69 / $342.92	Professional		$80.79	$160.69	$342.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $130.22 / $319.98	Professional		$130.22	$130.22	$319.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $568.86 / $4,318.66 / $12,000.00	Facility		$568.86	$4,318.66	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $134.53 / $326.51 / $1,488.00	Professional		$134.53	$326.51	$1,488.00
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 $109.90 / $221.88 / $483.97	Professional		$109.90	$221.88	$483.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $117.12 / $226.59 / $1,436.99	Facility		$117.12	$226.59	$1,436.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.41 / $214.32 / $547.55	Professional		$113.41	$214.32	$547.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.17 / $272.63 / $459.09	Professional		$45.17	$272.63	$459.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $193.91 / $310.88 / $347.73	Facility		$193.91	$310.88	$347.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.47 / $526.74 / $988.05	Facility		$236.47	$526.74	$988.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.66 / $237.18 / $448.31	Professional		$135.66	$237.18	$448.31
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 $134.53 / $248.41 / $401.71	Professional		$134.53	$248.41	$401.71
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 $187.20 / $294.04 / $498.76	Professional		$187.20	$294.04	$498.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $84.37 / $143.00 / $192.49	Professional		$84.37	$143.00	$192.49