Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.79 / $2,358.27 / $4,500.00	Facility		$235.79	$2,358.27	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.09 / $249.22 / $712.11	Professional		$103.09	$249.22	$712.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.47 / $229.23 / $515.17	Professional		$102.47	$229.23	$515.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $358.78 / $1,824.43 / $3,748.81	Facility		$358.78	$1,824.43	$3,748.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $181.07 / $478.37 / $1,955.60	Professional		$181.07	$478.37	$1,955.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $880.53	Facility		$714.97	$870.49	$880.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.71 / $295.49 / $744.50	Professional		$137.71	$295.49	$744.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $136.84 / $302.44 / $683.42	Facility		$136.84	$302.44	$683.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.84 / $289.05 / $664.93	Professional		$136.84	$289.05	$664.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.82 / $404.36 / $717.66	Professional		$71.82	$404.36	$717.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $212.39 / $478.72 / $528.63	Facility		$212.39	$478.72	$528.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.22 / $358.78 / $715.32	Facility		$238.22	$358.78	$715.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.23 / $345.19 / $654.29	Professional		$178.23	$345.19	$654.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,430.01 / $1,958.65 / $3,748.81	Facility		$1,430.01	$1,958.65	$3,748.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $169.63 / $345.02 / $642.74	Professional		$169.63	$345.02	$642.74
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.10 / $388.29 / $726.65	Professional		$222.10	$388.29	$726.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $113.37 / $214.23 / $292.93	Professional		$113.37	$214.23	$292.93