Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $471.35 / $938.48 / $1,263.24	Facility		$471.35	$938.48	$1,263.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.62 / $594.29 / $1,281.86	Professional		$316.62	$594.29	$1,281.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $659.41 / $1,010.03 / $1,010.03	Professional		$659.41	$1,010.03	$1,010.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $752.89 / $1,970.98	Facility		$55.00	$752.89	$1,970.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $698.97 / $1,203.77 / $4,085.84	Professional		$698.97	$1,203.77	$4,085.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.40 / $1,026.36 / $1,675.58	Professional		$537.40	$1,026.36	$1,675.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $430.34 / $761.75 / $1,138.48	Facility		$430.34	$761.75	$1,138.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.51 / $776.01 / $1,241.92	Professional		$478.51	$776.01	$1,241.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.87 / $909.39 / $1,497.94	Professional		$143.87	$909.39	$1,497.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $556.79 / $905.84 / $1,130.16	Facility		$556.79	$905.84	$1,130.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $752.89 / $752.89 / $776.90	Facility		$752.89	$752.89	$776.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $718.70 / $1,029.70 / $1,447.69	Professional		$718.70	$1,029.70	$1,447.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $647.96 / $969.61 / $1,336.50	Professional		$647.96	$969.61	$1,336.50
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $587.25 / $1,109.65 / $1,710.45	Professional		$587.25	$1,109.65	$1,710.45