Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.20 / $929.52 / $2,588.19	Facility		$523.20	$929.52	$2,588.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.56 / $513.54 / $718.27	Professional		$238.56	$513.54	$718.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $333.96 / $333.96 / $333.96	Professional		$333.96	$333.96	$333.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $584.42 / $890.56 / $2,299.54	Facility		$584.42	$890.56	$2,299.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $473.11 / $1,035.08 / $4,174.50	Professional		$473.11	$1,035.08	$4,174.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $560.55 / $904.48 / $1,437.21	Facility		$560.55	$904.48	$1,437.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.26 / $624.16 / $759.42	Professional		$294.26	$624.16	$759.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $549.32 / $695.75 / $1,588.95	Facility		$549.32	$695.75	$1,588.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $556.60 / $818.20 / $1,541.01	Professional		$556.60	$818.20	$1,541.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $544.90 / $590.64	Professional		$75.00	$544.90	$590.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $556.60 / $556.60 / $1,168.85	Facility		$556.60	$556.60	$1,168.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $556.60 / $974.05 / $1,669.80	Facility		$556.60	$974.05	$1,669.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $500.94 / $695.75 / $840.47	Professional		$500.94	$695.75	$840.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $584.42 / $913.38 / $1,530.65	Facility		$584.42	$913.38	$1,530.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $615.60 / $1,082.91 / $1,294.13	Professional		$615.60	$1,082.91	$1,294.13
United Facility/Professional Professional Modifier Low / Median / High Price $233.77 / $233.77 / $623.39	Professional		$233.77	$233.77	$623.39