Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.93 / $2,405.64 / $9,703.00	Facility		$245.93	$2,405.64	$9,703.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.36 / $684.04 / $1,782.43	Professional		$133.36	$684.04	$1,782.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $227.75 / $227.75 / $227.75	Professional		$227.75	$227.75	$227.75
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 $223.58 / $1,403.81 / $5,607.84	Professional		$223.58	$1,403.81	$5,607.84
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 $180.74 / $446.64 / $2,256.71	Professional		$180.74	$446.64	$2,256.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $192.48 / $826.39 / $2,246.13	Facility		$192.48	$826.39	$2,246.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.28 / $800.11 / $2,135.77	Professional		$186.28	$800.11	$2,135.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.81 / $1,206.79 / $2,038.75	Professional		$194.81	$1,206.79	$2,038.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $818.22 / $1,453.35 / $1,713.19	Facility		$818.22	$1,453.35	$1,713.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $430.83 / $911.49 / $1,091.73	Facility		$430.83	$911.49	$1,091.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.04 / $535.95 / $2,034.09	Professional		$217.04	$535.95	$2,034.09
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 $224.22 / $591.71 / $1,765.76	Professional		$224.22	$591.71	$1,765.76
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,355.00 / $4,271.00	Facility		$650.00	$1,355.00	$4,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $915.99 / $1,443.62 / $2,385.10	Professional		$915.99	$1,443.62	$2,385.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.03 / $609.00 / $850.73	Professional		$138.03	$609.00	$850.73