Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,481.07 / $1,614.36 / $16,598.48	Facility		$1,481.07	$1,614.36	$16,598.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.03 / $1,155.27 / $1,481.07	Professional		$991.03	$1,155.27	$1,481.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,018.73 / $1,018.73 / $1,018.73	Professional		$1,018.73	$1,018.73	$1,018.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,072.92 / $3,254.02 / $5,667.77	Facility		$2,072.92	$3,254.02	$5,667.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,271.74 / $2,260.42 / $10,192.12	Professional		$1,271.74	$2,260.42	$10,192.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,301.92 / $2,449.00 / $3,814.50	Professional		$1,301.92	$2,449.00	$3,814.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $939.61 / $1,597.96 / $2,963.78	Facility		$939.61	$1,597.96	$2,963.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $961.54 / $1,507.61 / $2,731.48	Professional		$961.54	$1,507.61	$2,731.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $1,552.02	Professional		$45.00	$50.00	$1,552.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $865.60 / $1,092.17 / $1,149.65	Facility		$865.60	$1,092.17	$1,149.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,534.76 / $1,534.76 / $1,619.15	Facility		$1,534.76	$1,534.76	$1,619.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,619.15 / $2,499.56 / $3,213.86	Professional		$1,619.15	$2,499.56	$3,213.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,162.01 / $2,962.94 / $5,667.77	Facility		$2,162.01	$2,962.94	$5,667.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,565.26 / $2,177.17 / $3,023.20	Professional		$1,565.26	$2,177.17	$3,023.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,266.61 / $1,964.88 / $3,266.58	Professional		$1,266.61	$1,964.88	$3,266.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,149.65 / $1,328.55 / $1,353.16	Professional		$1,149.65	$1,328.55	$1,353.16