Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.36 / $1,486.84 / $14,142.20	Facility		$627.36	$1,486.84	$14,142.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.60 / $627.36 / $5,953.86	Professional		$612.60	$627.36	$5,953.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $701.17 / $701.17 / $701.17	Professional		$701.17	$701.17	$701.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $526.44 / $725.44 / $1,628.96	Facility		$526.44	$725.44	$1,628.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $558.03 / $701.17 / $3,133.62	Professional		$558.03	$701.17	$3,133.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.63 / $891.92 / $1,414.78	Facility		$676.63	$891.92	$1,414.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $627.36 / $627.36	Professional		$627.36	$627.36	$627.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $558.03 / $1,737.10 / $4,957.29	Facility		$558.03	$1,737.10	$4,957.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $701.17 / $701.17 / $701.17	Professional		$701.17	$701.17	$701.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $60.00	Professional		$30.00	$60.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $529.23 / $529.23 / $1,584.81	Facility		$529.23	$529.23	$1,584.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $493.30 / $702.69 / $1,305.79	Facility		$493.30	$702.69	$1,305.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $661.54 / $661.54 / $661.54	Professional		$661.54	$661.54	$661.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $615.12 / $738.14 / $1,349.03	Facility		$615.12	$738.14	$1,349.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $558.03 / $701.17 / $729.22	Professional		$558.03	$701.17	$729.22
United Facility/Professional Professional Modifier Low / Median / High Price $615.05 / $615.05 / $738.07	Professional		$615.05	$615.05	$738.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $580.29 / $701.17 / $701.17	Professional		$580.29	$701.17	$701.17