Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.48 / $1,927.15 / $7,920.26	Facility		$119.48	$1,927.15	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $519.29 / $1,156.24	Professional		$63.07	$519.29	$1,156.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.34 / $110.34 / $110.34	Professional		$110.34	$110.34	$110.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,570.62 / $3,393.78	Facility		$55.00	$1,570.62	$3,393.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $106.18 / $1,099.33 / $4,312.47	Professional		$106.18	$1,099.33	$4,312.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $636.00 / $1,192.33	Facility		$466.83	$636.00	$1,192.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.62 / $316.16 / $1,753.58	Professional		$85.62	$316.16	$1,753.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $91.63 / $783.92 / $1,773.93	Facility		$91.63	$783.92	$1,773.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.82 / $642.63 / $1,683.51	Professional		$88.82	$642.63	$1,683.51
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 $745.31 / $1,118.01 / $1,307.17	Facility		$745.31	$1,118.01	$1,307.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $430.83 / $800.66 / $839.86	Facility		$430.83	$800.66	$839.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.97 / $268.57 / $1,568.61	Professional		$107.97	$268.57	$1,568.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,665.80 / $2,568.87 / $4,913.96	Facility		$1,665.80	$2,568.87	$4,913.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $106.18 / $591.71 / $1,360.43	Professional		$106.18	$591.71	$1,360.43
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 $717.34 / $1,113.75 / $1,823.86	Professional		$717.34	$1,113.75	$1,823.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.87 / $468.21 / $659.60	Professional		$66.87	$468.21	$659.60