Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.64 / $2,787.45 / $10,122.46	Facility		$366.64	$2,787.45	$10,122.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.09 / $732.63 / $1,593.27	Professional		$200.09	$732.63	$1,593.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $321.35 / $345.97 / $364.20	Professional		$321.35	$345.97	$364.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,303.45 / $7,123.96	Facility		$55.00	$3,303.45	$7,123.96
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $412.85 / $727.83 / $727.83	Facility	52	$412.85	$727.83	$727.83
Asuris Northwest Health Facility/Professional Facility Modifier 53 Low / Median / High Price $103.21 / $181.96 / $181.96	Facility	53	$103.21	$181.96	$181.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $334.58 / $1,533.42 / $6,044.48	Professional		$334.58	$1,533.42	$6,044.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $636.00 / $2,046.84	Facility		$466.83	$636.00	$2,046.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.69 / $655.84 / $2,457.66	Professional		$268.69	$655.84	$2,457.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $300.17 / $1,175.58 / $2,622.53	Facility		$300.17	$1,175.58	$2,622.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.68 / $959.45 / $2,487.71	Professional		$283.68	$959.45	$2,487.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.03 / $925.41 / $1,936.66	Professional		$97.03	$925.41	$1,936.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,071.33 / $1,572.92 / $1,938.80	Facility		$1,071.33	$1,572.92	$1,938.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $726.69 / $1,118.74 / $1,167.02	Facility		$726.69	$1,118.74	$1,167.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.45 / $838.39 / $2,220.58	Professional		$329.45	$838.39	$2,220.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,496.71 / $5,392.38 / $10,315.01	Facility		$3,496.71	$5,392.38	$10,315.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $343.44 / $987.96 / $1,900.87	Professional		$343.44	$987.96	$1,900.87
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 $1,034.90 / $1,612.33 / $2,557.57	Professional		$1,034.90	$1,612.33	$2,557.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $209.68 / $659.80 / $915.67	Professional		$209.68	$659.80	$915.67