Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $907.02 / $1,584.06 / $18,711.00	Facility		$907.02	$1,584.06	$18,711.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $541.71 / $939.07 / $1,303.59	Facility	54	$541.71	$939.07	$1,303.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.75 / $627.99 / $1,562.91	Professional		$411.75	$627.99	$1,562.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $878.14 / $878.14 / $878.14	Professional		$878.14	$878.14	$878.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,013.21 / $6,622.22 / $14,645.34	Facility		$1,013.21	$6,622.22	$14,645.34
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $869.62 / $1,513.22 / $1,513.22	Facility	54	$869.62	$1,513.22	$1,513.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $824.26 / $1,416.20 / $4,981.52	Professional		$824.26	$1,416.20	$4,981.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,031.00 / $2,430.19	Facility		$1,031.00	$1,031.00	$2,430.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.73 / $913.12 / $1,926.45	Professional		$546.73	$913.12	$1,926.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $586.96 / $1,055.35 / $1,840.02	Facility		$586.96	$1,055.35	$1,840.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $596.54 / $1,056.10 / $1,731.29	Professional		$596.54	$1,056.10	$1,731.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $371.42 / $1,281.34	Professional		$78.68	$371.42	$1,281.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $756.97 / $1,225.33 / $1,340.00	Facility		$756.97	$1,225.33	$1,340.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $895.58 / $895.58 / $925.25	Facility		$895.58	$895.58	$925.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $778.50 / $1,192.59 / $1,675.40	Professional		$778.50	$1,192.59	$1,675.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,832.13 / $6,618.43 / $12,667.56	Facility		$4,832.13	$6,618.43	$12,667.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $638.48 / $1,105.74 / $1,640.37	Professional		$638.48	$1,105.74	$1,640.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,862.00 / $10,522.00	Facility		$1,224.00	$1,862.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $759.20 / $998.70 / $1,864.18	Professional		$759.20	$998.70	$1,864.18