Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $992.72 / $1,558.87 / $2,600.39	Facility		$992.72	$1,558.87	$2,600.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $734.72 / $992.72 / $2,355.05	Professional		$734.72	$992.72	$2,355.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,251.17 / $1,471.97 / $1,715.46	Professional		$1,251.17	$1,471.97	$1,715.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,650.86 / $3,991.95 / $3,991.95	Facility		$1,650.86	$3,991.95	$3,991.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,209.58 / $1,851.44 / $8,114.99	Professional		$1,209.58	$1,851.44	$8,114.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $930.46 / $1,588.78 / $2,647.69	Professional		$930.46	$1,588.78	$2,647.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $847.54 / $1,556.28 / $2,216.25	Facility		$847.54	$1,556.28	$2,216.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $847.54 / $1,506.45 / $2,261.21	Professional		$847.54	$1,506.45	$2,261.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.96 / $1,356.43 / $2,475.81	Professional		$245.96	$1,356.43	$2,475.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,361.45 / $1,730.41 / $1,802.00	Facility		$1,361.45	$1,730.41	$1,802.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.81 / $1,976.26 / $2,402.00	Professional		$1,288.81	$1,976.26	$2,402.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,213.70 / $1,688.32 / $2,259.51	Professional		$1,213.70	$1,688.32	$2,259.51
United Facility/Professional Professional Modifier Low / Median / High Price $937.61 / $1,350.96 / $2,533.06	Professional		$937.61	$1,350.96	$2,533.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $727.99 / $919.98 / $919.98	Professional		$727.99	$919.98	$919.98