Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $624.99 / $1,720.77 / $5,861.61	Facility		$624.99	$1,720.77	$5,861.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.22 / $680.59 / $1,720.04	Professional		$581.22	$680.59	$1,720.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $539.67 / $551.25 / $1,269.83	Professional		$539.67	$551.25	$1,269.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $849.38 / $6,023.52 / $6,023.52	Facility		$849.38	$6,023.52	$6,023.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $866.25 / $1,514.41 / $11,983.88	Professional		$866.25	$1,514.41	$11,983.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $800.89 / $1,270.45 / $2,035.83	Professional		$800.89	$1,270.45	$2,035.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $590.86 / $1,183.38 / $1,709.11	Facility		$590.86	$1,183.38	$1,709.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $597.32 / $1,376.77 / $1,709.11	Professional		$597.32	$1,376.77	$1,709.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $175.39 / $1,031.67 / $1,732.93	Professional		$175.39	$1,031.67	$1,732.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $936.71 / $1,216.52 / $1,283.72	Facility		$936.71	$1,216.52	$1,283.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $849.38 / $849.38 / $875.61	Facility		$849.38	$849.38	$875.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $980.65 / $1,460.57 / $1,738.53	Professional		$980.65	$1,460.57	$1,738.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $866.25 / $866.25 / $866.25	Facility		$866.25	$866.25	$866.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $866.25 / $1,312.46 / $1,720.95	Professional		$866.25	$1,312.46	$1,720.95
United Facility/Professional Professional Modifier Low / Median / High Price $765.35 / $830.89 / $1,737.34	Professional		$765.35	$830.89	$1,737.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $689.06 / $689.06 / $689.06	Professional		$689.06	$689.06	$689.06