Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.92 / $1,141.18 / $3,878.54	Facility		$413.92	$1,141.18	$3,878.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.11 / $460.75 / $1,100.40	Professional		$373.11	$460.75	$1,100.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $374.85 / $374.85 / $374.85	Professional		$374.85	$374.85	$374.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $563.08 / $3,983.52 / $3,983.52	Facility		$563.08	$3,983.52	$3,983.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $574.27 / $1,000.58 / $14,247.44	Professional		$574.27	$1,000.58	$14,247.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20,031.00 / $47,402.00 / $49,858.00	Facility		$20,031.00	$47,402.00	$49,858.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $530.86 / $841.50 / $1,345.95	Professional		$530.86	$841.50	$1,345.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $391.53 / $784.75 / $1,132.53	Facility		$391.53	$784.75	$1,132.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $395.50 / $891.42 / $1,132.53	Professional		$395.50	$891.42	$1,132.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $113.33 / $665.51 / $1,112.38	Professional		$113.33	$665.51	$1,112.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.42 / $795.29 / $848.89	Facility		$588.42	$795.29	$848.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $563.08 / $563.08 / $579.02	Facility		$563.08	$563.08	$579.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $649.32 / $965.83 / $1,151.11	Professional		$649.32	$965.83	$1,151.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $574.27 / $574.27 / $574.27	Facility		$574.27	$574.27	$574.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $574.27 / $867.90 / $1,138.02	Professional		$574.27	$867.90	$1,138.02
United Facility/Professional Professional Modifier Low / Median / High Price $486.40 / $548.55 / $1,094.86	Professional		$486.40	$548.55	$1,094.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $455.46 / $455.46 / $455.46	Professional		$455.46	$455.46	$455.46