Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.14 / $803.88 / $14,464.32	Facility		$227.14	$803.88	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.61 / $308.17 / $598.11	Professional		$163.61	$308.17	$598.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $410.48 / $410.48 / $410.48	Professional		$410.48	$410.48	$410.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $224.34 / $8,327.75 / $16,947.71	Facility		$224.34	$8,327.75	$16,947.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $281.50 / $586.98 / $2,324.32	Professional		$281.50	$586.98	$2,324.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.25 / $272.25 / $453.57	Facility		$272.25	$272.25	$453.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.30 / $472.34 / $953.37	Professional		$256.30	$472.34	$953.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $242.96 / $397.76 / $1,015.31	Facility		$242.96	$397.76	$1,015.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.96 / $395.14 / $703.51	Professional		$242.96	$395.14	$703.51
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 $305.47 / $536.00 / $633.15	Facility		$305.47	$536.00	$633.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.34 / $431.87 / $433.52	Facility		$224.34	$431.87	$433.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.32 / $433.59 / $797.65	Professional		$285.32	$433.59	$797.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,745.15 / $8,854.69 / $16,947.71	Facility		$5,745.15	$8,854.69	$16,947.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $255.79 / $442.13 / $731.43	Professional		$255.79	$442.13	$731.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.76 / $605.12 / $919.17	Professional		$368.76	$605.12	$919.17