Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.57 / $4,283.46 / $18,711.00	Facility		$151.57	$4,283.46	$18,711.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $69.53 / $69.53 / $327.12	Facility	52	$69.53	$69.53	$327.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.42 / $360.77 / $689.63	Professional		$101.42	$360.77	$689.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,003.12 / $1,992.71 / $3,814.01	Facility		$1,003.12	$1,992.71	$3,814.01
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $221.22 / $388.74 / $388.74	Facility	52	$221.22	$388.74	$388.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $192.21 / $782.62 / $3,161.68	Professional		$192.21	$782.62	$3,161.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $536.85 / $536.85 / $894.39	Facility		$536.85	$536.85	$894.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.97 / $465.00 / $1,305.24	Professional		$175.97	$465.00	$1,305.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $177.67 / $602.60 / $1,253.88	Facility		$177.67	$602.60	$1,253.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.67 / $565.41 / $1,174.58	Professional		$177.67	$565.41	$1,174.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.32 / $663.75 / $1,091.75	Professional		$104.32	$663.75	$1,091.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $402.89 / $608.17 / $856.93	Facility		$402.89	$608.17	$856.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.34 / $584.50 / $614.72	Facility		$331.34	$584.50	$614.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.01 / $360.38 / $1,130.82	Professional		$191.01	$360.38	$1,130.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,454.88 / $1,992.71 / $3,814.01	Facility		$1,454.88	$1,992.71	$3,814.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $357.11 / $993.00	Professional		$173.40	$357.11	$993.00
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $586.08 / $921.58 / $1,318.67	Professional		$586.08	$921.58	$1,318.67