Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.41 / $920.28 / $960.82	Facility		$405.41	$920.28	$960.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.37 / $405.41 / $960.82	Professional		$360.37	$405.41	$960.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,339.02 / $1,339.02 / $1,339.02	Professional		$1,339.02	$1,339.02	$1,339.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $332.08 / $994.84 / $3,377.04	Facility		$332.08	$994.84	$3,377.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $282.27 / $494.90 / $2,404.73	Professional		$282.27	$494.90	$2,404.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.68 / $758.68 / $758.68	Facility		$758.68	$758.68	$758.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.84 / $553.84 / $786.60	Professional		$553.84	$553.84	$786.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $324.94 / $1,312.09 / $3,448.78	Facility		$324.94	$1,312.09	$3,448.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $324.94 / $1,263.08 / $2,201.25	Professional		$324.94	$1,263.08	$2,201.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $832.92 / $925.47 / $1,018.01	Professional		$832.92	$925.47	$1,018.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $342.04 / $509.74 / $991.87	Facility		$342.04	$509.74	$991.87
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $959.04 / $959.04 / $959.04	Professional		$959.04	$959.04	$959.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.27 / $513.33 / $664.16	Facility		$282.27	$513.33	$664.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.27 / $504.01 / $992.19	Professional		$282.27	$504.01	$992.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $332.08 / $332.08 / $536.32	Facility		$332.08	$332.08	$536.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $276.19 / $294.14 / $959.04	Professional		$276.19	$294.14	$959.04
United Facility/Professional Professional Modifier Low / Median / High Price $536.32 / $551.38 / $918.97	Professional		$536.32	$551.38	$918.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $708.65 / $709.46 / $709.46	Professional		$708.65	$709.46	$709.46