Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.05 / $556.05 / $556.05	Facility		$556.05	$556.05	$556.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.00 / $408.74 / $556.05	Professional		$332.00	$408.74	$556.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $313.80 / $386.93 / $392.14	Professional		$313.80	$386.93	$392.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $1,907.43 / $1,907.43	Facility		$110.00	$1,907.43	$1,907.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $867.08 / $3,604.20	Professional		$480.00	$867.08	$3,604.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.94 / $650.28 / $1,287.61	Professional		$390.94	$650.28	$1,287.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $351.85 / $627.48 / $911.31	Facility		$351.85	$627.48	$911.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $328.29 / $595.12 / $939.21	Professional		$328.29	$595.12	$939.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $689.15 / $825.58 / $839.51	Facility		$689.15	$825.58	$839.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.20 / $938.87 / $1,174.44	Professional		$579.20	$938.87	$1,174.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $577.96 / $813.15 / $1,009.25	Professional		$577.96	$813.15	$1,009.25
United Facility/Professional Professional Modifier Low / Median / High Price $362.17 / $581.16 / $1,025.81	Professional		$362.17	$581.16	$1,025.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $500.00 / $500.00	Professional		$480.00	$500.00	$500.00