Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,334.74 / $1,334.74 / $1,334.74	Facility		$1,334.74	$1,334.74	$1,334.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $1,018.40 / $1,334.74	Professional		$29.76	$1,018.40	$1,334.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,034.31 / $1,034.31 / $1,034.31	Professional		$1,034.31	$1,034.31	$1,034.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $64.45 / $177.48 / $177.48	Facility		$64.45	$177.48	$177.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $51.24 / $1,551.40 / $7,170.93	Professional		$51.24	$1,551.40	$7,170.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,077.57 / $1,077.57 / $1,077.57	Professional		$1,077.57	$1,077.57	$1,077.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $29.70 / $964.41 / $3,030.08	Facility		$29.70	$964.41	$3,030.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $871.08 / $2,739.23	Professional		$28.55	$871.08	$2,739.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $337.71 / $1,914.68 / $3,395.83	Professional		$337.71	$1,914.68	$3,395.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,236.55 / $2,249.44 / $2,438.80	Facility		$1,236.55	$2,249.44	$2,438.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,498.52 / $1,498.52 / $1,498.52	Facility		$1,498.52	$1,498.52	$1,498.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $1,405.67 / $2,904.75	Professional		$57.58	$1,405.67	$2,904.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,926.90 / $5,005.05 / $6,044.66	Facility		$3,926.90	$5,005.05	$6,044.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $1,005.17 / $2,682.58	Professional		$48.97	$1,005.17	$2,682.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,171.27 / $1,797.93 / $3,223.62	Professional		$1,171.27	$1,797.93	$3,223.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $999.64 / $999.64 / $1,424.11	Professional		$999.64	$999.64	$1,424.11