Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.18 / $6,124.50 / $21,894.60	Facility		$256.18	$6,124.50	$21,894.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.93 / $301.61 / $1,663.55	Professional		$190.93	$301.61	$1,663.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $271.08 / $271.08 / $377.53	Professional		$271.08	$271.08	$377.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $281.31 / $4,634.70 / $5,897.00	Facility		$281.31	$4,634.70	$5,897.00
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $180.29 / $598.89 / $598.89	Facility	62	$180.29	$598.89	$598.89
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $28.85 / $95.82 / $95.82	Facility	AS	$28.85	$95.82	$95.82
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $296.35 / $456.59 / $3,668.75	Professional		$296.35	$456.59	$3,668.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,285.42 / $2,500.00	Facility		$2,000.00	$2,285.42	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.00 / $368.52 / $621.32	Professional		$223.00	$368.52	$621.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $199.95 / $405.14 / $521.36	Facility		$199.95	$405.14	$521.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.95 / $405.14 / $525.57	Professional		$199.95	$405.14	$525.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $293.62 / $518.16	Professional		$51.94	$293.62	$518.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $303.80 / $396.15 / $422.28	Facility		$303.80	$396.15	$422.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.31 / $281.31 / $287.91	Facility		$281.31	$281.31	$287.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.64 / $459.54 / $571.47	Professional		$321.64	$459.54	$571.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,683.09 / $8,683.09 / $10,939.38	Facility		$8,683.09	$8,683.09	$10,939.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $286.89 / $414.16 / $550.88	Professional		$286.89	$414.16	$550.88
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $648.00 / $6,216.00	Facility		$157.00	$648.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.33 / $340.45 / $615.76	Professional		$251.33	$340.45	$615.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $174.75 / $174.75 / $216.87	Professional		$174.75	$174.75	$216.87