Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.05 / $1,232.07 / $6,441.62	Facility		$770.05	$1,232.07	$6,441.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.58 / $577.57 / $770.05	Professional		$495.58	$577.57	$770.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $591.12 / $591.12 / $591.12	Professional		$591.12	$591.12	$591.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,036.46 / $1,668.14 / $2,905.51	Facility		$1,036.46	$1,668.14	$2,905.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $586.24 / $1,190.17 / $5,336.33	Professional		$586.24	$1,190.17	$5,336.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.42 / $1,269.50 / $1,997.17	Professional		$676.42	$1,269.50	$1,997.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $452.76 / $752.44 / $1,395.11	Facility		$452.76	$752.44	$1,395.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $452.76 / $709.89 / $1,285.76	Professional		$452.76	$709.89	$1,285.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $730.52	Professional		$45.00	$50.00	$730.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $407.50 / $514.07 / $541.13	Facility		$407.50	$514.07	$541.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $751.53 / $751.53 / $847.74	Facility		$751.53	$751.53	$847.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $847.74 / $1,286.33 / $1,682.67	Professional		$847.74	$1,286.33	$1,682.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,121.85 / $1,518.92 / $2,905.51	Facility		$1,121.85	$1,518.92	$2,905.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $819.13 / $1,139.90 / $1,582.85	Professional		$819.13	$1,139.90	$1,582.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,494.83 / $1,954.20 / $3,093.07	Facility		$1,494.83	$1,954.20	$3,093.07
United Facility/Professional Professional Modifier Low / Median / High Price $623.24 / $966.40 / $1,833.30	Professional		$623.24	$966.40	$1,833.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $541.13 / $625.32 / $677.88	Professional		$541.13	$625.32	$677.88