Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.78 / $1,591.42 / $6,785.52	Facility		$834.78	$1,591.42	$6,785.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.66 / $421.42 / $956.62	Professional		$369.66	$421.42	$956.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $624.46 / $624.46 / $624.46	Professional		$624.46	$624.46	$624.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $546.79 / $1,516.13 / $3,359.73	Facility		$546.79	$1,516.13	$3,359.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $451.17 / $609.82 / $3,996.53	Professional		$451.17	$609.82	$3,996.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.66 / $523.66 / $523.66	Facility		$523.66	$523.66	$523.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.28 / $382.28 / $523.66	Professional		$382.28	$382.28	$523.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $392.66 / $669.13 / $1,711.16	Facility		$392.66	$669.13	$1,711.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.09 / $669.13 / $1,324.82	Professional		$393.09	$669.13	$1,324.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $430.38 / $478.21 / $526.03	Professional		$430.38	$478.21	$526.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $495.68 / $609.82 / $624.46	Facility		$495.68	$609.82	$624.46
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $562.01 / $624.46 / $686.91	Professional		$562.01	$624.46	$686.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $546.79 / $701.29 / $1,219.64	Facility		$546.79	$701.29	$1,219.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $594.37 / $609.82 / $609.82	Facility		$594.37	$609.82	$609.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $496.07 / $530.79 / $686.91	Professional		$496.07	$530.79	$686.91
United Facility/Professional Professional Modifier Low / Median / High Price $288.04 / $336.04 / $594.37	Professional		$288.04	$336.04	$594.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.57 / $269.57 / $376.03	Professional		$269.57	$269.57	$376.03