Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.58 / $7,858.37 / $28,416.40	Facility		$574.58	$7,858.37	$28,416.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.25 / $494.76 / $1,018.52	Professional		$326.25	$494.76	$1,018.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $567.60 / $567.60 / $567.60	Professional		$567.60	$567.60	$567.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,010.87 / $17,986.75 / $28,324.73	Facility		$2,010.87	$17,986.75	$28,324.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $577.65 / $991.87 / $7,231.97	Professional		$577.65	$991.87	$7,231.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $7,511.25	Facility		$883.20	$1,075.31	$7,511.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.78 / $740.07 / $1,267.41	Professional		$411.78	$740.07	$1,267.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $449.77 / $837.04 / $6,870.56	Facility		$449.77	$837.04	$6,870.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $395.81 / $824.44 / $5,060.72	Professional		$395.81	$824.44	$5,060.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.57 / $334.46 / $918.29	Professional		$51.57	$334.46	$918.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $551.36 / $765.81 / $846.88	Facility		$551.36	$765.81	$846.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $563.99 / $1,460.91 / $2,583.64	Facility		$563.99	$1,460.91	$2,583.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $597.60 / $953.41 / $1,150.76	Professional		$597.60	$953.41	$1,150.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,480.79 / $20,921.68 / $41,012.25	Facility		$8,480.79	$20,921.68	$41,012.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $666.08 / $830.96 / $1,085.78	Professional		$666.08	$830.96	$1,085.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,759.00 / $11,941.00	Facility		$1,300.00	$2,759.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $451.32 / $707.40 / $1,209.78	Professional		$451.32	$707.40	$1,209.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $351.16 / $451.08 / $451.08	Professional		$351.16	$451.08	$451.08