Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.66 / $5,535.44 / $14,721.95	Facility		$363.66	$5,535.44	$14,721.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.22 / $342.88 / $689.00	Professional		$235.22	$342.88	$689.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $612.09 / $612.09 / $612.09	Professional		$612.09	$612.09	$612.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,205.11 / $8,859.76 / $20,000.00	Facility		$1,205.11	$8,859.76	$20,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $413.03 / $685.38 / $2,261.67	Professional		$413.03	$685.38	$2,261.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,380.38 / $2,380.38 / $3,965.68	Facility		$2,380.38	$2,380.38	$3,965.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.82 / $580.01 / $920.55	Professional		$321.82	$580.01	$920.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $312.61 / $537.26 / $2,679.56	Facility		$312.61	$537.26	$2,679.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.60 / $526.52 / $956.25	Professional		$316.60	$526.52	$956.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.16 / $171.11 / $687.75	Professional		$37.16	$171.11	$687.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $362.41 / $501.16 / $615.73	Facility		$362.41	$501.16	$615.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $413.14 / $419.98 / $1,367.95	Facility		$413.14	$419.98	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.17 / $607.16 / $791.66	Professional		$416.17	$607.16	$791.66
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 $398.46 / $554.96 / $731.72	Professional		$398.46	$554.96	$731.72
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 $346.50 / $624.48 / $883.44	Professional		$346.50	$624.48	$883.44