Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $506.23 / $506.23 / $1,100.77	Facility		$506.23	$506.23	$1,100.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.41 / $384.06 / $506.23	Professional		$329.41	$384.06	$506.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $345.20 / $345.20 / $345.20	Professional		$345.20	$345.20	$345.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $617.55 / $976.88 / $1,804.47	Facility		$617.55	$976.88	$1,804.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $396.59 / $764.79 / $3,428.93	Professional		$396.59	$764.79	$3,428.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.02 / $815.77 / $1,283.35	Professional		$438.02	$815.77	$1,283.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $290.36 / $539.24 / $946.74	Facility		$290.36	$539.24	$946.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $324.47 / $508.75 / $921.26	Professional		$324.47	$508.75	$921.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $523.42	Professional		$45.00	$50.00	$523.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $290.79 / $368.33 / $387.72	Facility		$290.79	$368.33	$387.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $493.77 / $493.77 / $544.74	Facility		$493.77	$493.77	$544.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $544.74 / $834.35 / $1,081.26	Professional		$544.74	$834.35	$1,081.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $649.04 / $888.99 / $1,701.50	Facility		$649.04	$888.99	$1,701.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $503.58 / $732.92 / $1,017.12	Professional		$503.58	$732.92	$1,017.12
United Facility/Professional Professional Modifier Low / Median / High Price $416.00 / $662.59 / $1,167.04	Professional		$416.00	$662.59	$1,167.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $387.72 / $448.11 / $570.24	Professional		$387.72	$448.11	$570.24