Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.62 / $1,477.46 / $11,522.02	Facility		$127.62	$1,477.46	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.26 / $429.61 / $1,142.01	Professional		$67.26	$429.61	$1,142.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.86 / $117.86 / $117.86	Professional		$117.86	$117.86	$117.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,497.26 / $7,123.96	Facility		$55.00	$3,497.26	$7,123.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $114.52 / $1,059.40 / $4,244.64	Professional		$114.52	$1,059.40	$4,244.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $2,046.84	Facility		$500.00	$870.49	$2,046.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.78 / $316.16 / $1,629.31	Professional		$93.78	$316.16	$1,629.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $98.88 / $727.13 / $1,658.81	Facility		$98.88	$727.13	$1,658.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.78 / $545.91 / $1,504.05	Professional		$95.78	$545.91	$1,504.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.06 / $875.93 / $1,490.66	Professional		$142.06	$875.93	$1,490.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $667.88 / $1,039.17 / $1,155.08	Facility		$667.88	$1,039.17	$1,155.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $726.69 / $836.24 / $1,167.02	Facility		$726.69	$836.24	$1,167.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.17 / $323.95 / $1,549.57	Professional		$115.17	$323.95	$1,549.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,497.26 / $5,392.38 / $10,315.01	Facility		$3,497.26	$5,392.38	$10,315.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $777.00 / $1,338.69	Professional		$115.43	$777.00	$1,338.69
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 $645.24 / $1,027.29 / $1,705.64	Professional		$645.24	$1,027.29	$1,705.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.43 / $460.48 / $647.98	Professional		$71.43	$460.48	$647.98