Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $597.91 / $998.51 / $3,234.69	Facility		$597.91	$998.51	$3,234.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.43 / $448.43 / $719.07	Professional		$448.43	$448.43	$719.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $597.91 / $597.91	Professional		$597.91	$597.91	$597.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $627.80 / $1,195.82 / $3,191.10	Facility		$627.80	$1,195.82	$3,191.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $356.66 / $716.60 / $3,115.19	Professional		$356.66	$716.60	$3,115.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $874.44 / $1,224.22 / $1,554.56	Facility		$874.44	$1,224.22	$1,554.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.02 / $686.82 / $858.52	Professional		$305.02	$686.82	$858.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $98.31 / $629.66 / $1,849.52	Facility		$98.31	$629.66	$1,849.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.92 / $739.81 / $1,654.71	Professional		$121.92	$739.81	$1,654.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $425.71 / $576.79 / $634.48	Professional		$425.71	$576.79	$634.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $597.91 / $597.91 / $1,319.89	Facility		$597.91	$597.91	$1,319.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $657.70 / $1,046.33 / $3,200.00	Facility		$657.70	$1,046.33	$3,200.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $538.12 / $747.39 / $1,106.13	Professional		$538.12	$747.39	$1,106.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $627.80 / $981.17 / $1,644.25	Facility		$627.80	$981.17	$1,644.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $511.79 / $1,062.72 / $1,613.17	Professional		$511.79	$1,062.72	$1,613.17
United Facility/Professional Professional Modifier Low / Median / High Price $39.99 / $251.12 / $669.66	Professional		$39.99	$251.12	$669.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.06 / $269.06 / $309.72	Professional		$269.06	$269.06	$309.72