Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.76 / $2,860.41 / $8,883.56	Facility		$421.76	$2,860.41	$8,883.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.84 / $452.85 / $1,032.30	Professional		$237.84	$452.85	$1,032.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $445.60 / $500.82 / $660.16	Professional		$445.60	$500.82	$660.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,084.59 / $5,772.11 / $14,934.15	Facility		$1,084.59	$5,772.11	$14,934.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $400.17 / $662.76 / $3,041.38	Professional		$400.17	$662.76	$3,041.38
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 $352.98 / $639.29 / $1,022.79	Professional		$352.98	$639.29	$1,022.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $345.96 / $608.22 / $1,828.65	Facility		$345.96	$608.22	$1,828.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.96 / $585.04 / $1,095.25	Professional		$345.96	$585.04	$1,095.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $265.92 / $723.34	Professional		$39.78	$265.92	$723.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $431.35 / $655.25 / $803.69	Facility		$431.35	$655.25	$803.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $453.45 / $461.11 / $839.66	Facility		$453.45	$461.11	$839.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.27 / $580.53 / $866.07	Professional		$398.27	$580.53	$866.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,211.81 / $5,768.81 / $11,041.39	Facility		$4,211.81	$5,768.81	$11,041.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $366.18 / $539.04 / $783.49	Professional		$366.18	$539.04	$783.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $4,097.02 / $10,522.00	Facility		$1,550.00	$4,097.02	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $454.08 / $711.67 / $1,006.19	Professional		$454.08	$711.67	$1,006.19