Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.27 / $782.46 / $12,214.00	Facility		$210.27	$782.46	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $324.07 / $711.58	Professional		$158.13	$324.07	$711.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $262.98 / $262.98 / $262.98	Professional		$262.98	$262.98	$262.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $777.93 / $5,772.11 / $14,934.15	Facility		$777.93	$5,772.11	$14,934.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $272.83 / $644.44 / $2,822.10	Professional		$272.83	$644.44	$2,822.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,364.71 / $1,364.71 / $2,273.59	Facility		$1,364.71	$1,364.71	$2,273.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.44 / $448.25 / $991.72	Professional		$242.44	$448.25	$991.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $239.80 / $429.46 / $1,828.65	Facility		$239.80	$429.46	$1,828.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.25 / $401.24 / $1,051.86	Professional		$239.25	$401.24	$1,051.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $500.86 / $819.78	Professional		$77.73	$500.86	$819.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.47 / $534.05 / $655.93	Facility		$295.47	$534.05	$655.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $447.40 / $448.02 / $839.66	Facility		$447.40	$448.02	$839.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.61 / $447.40 / $829.62	Professional		$268.61	$447.40	$829.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,742.95 / $5,768.81 / $11,041.39	Facility		$3,742.95	$5,768.81	$11,041.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $239.63 / $456.92 / $757.75	Professional		$239.63	$456.92	$757.75
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.04 / $690.30 / $945.24	Professional		$403.04	$690.30	$945.24