Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.36 / $1,291.55 / $2,824.48	Professional		$728.36	$1,291.55	$2,824.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,552.28 / $1,552.28 / $1,937.33	Professional		$1,552.28	$1,552.28	$1,937.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $226.16 / $12,056.48 / $12,056.48	Facility		$226.16	$12,056.48	$12,056.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,601.52 / $1,901.61 / $2,743.04	Professional		$1,601.52	$1,901.61	$2,743.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,460.50 / $1,460.50 / $1,916.91	Facility		$1,460.50	$1,460.50	$1,916.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,241.43 / $1,460.50 / $1,916.91	Professional		$1,241.43	$1,460.50	$1,916.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,583.10 / $2,583.10 / $2,583.10	Facility		$2,583.10	$2,583.10	$2,583.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,583.10 / $2,583.10 / $2,583.10	Professional		$2,583.10	$2,583.10	$2,583.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $227.04 / $277.49 / $2,774.81	Professional		$227.04	$277.49	$2,774.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,324.79 / $2,480.34 / $2,793.86	Facility		$2,324.79	$2,480.34	$2,793.86
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,324.79 / $2,539.87 / $2,583.10	Professional		$2,324.79	$2,539.87	$2,583.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.16 / $2,261.86 / $2,261.86	Facility		$226.16	$2,261.86	$2,261.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $454.80 / $2,144.17 / $2,446.88	Professional		$454.80	$2,144.17	$2,446.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,522.56 / $2,522.56 / $2,522.56	Facility		$2,522.56	$2,522.56	$2,522.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $174.40 / $174.40 / $212.35	Professional		$174.40	$174.40	$212.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,012.76 / $1,095.38 / $2,089.84	Professional		$1,012.76	$1,095.38	$2,089.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,513.68 / $1,513.68 / $1,901.61	Professional		$1,513.68	$1,513.68	$1,901.61