Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $678.67 / $8,369.76 / $17,541.37	Facility		$678.67	$8,369.76	$17,541.37
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,111.74 / $16,737.00 / $18,177.56	Facility	50	$10,111.74	$16,737.00	$18,177.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.10 / $532.72 / $1,162.54	Professional		$355.10	$532.72	$1,162.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $411.74 / $761.72 / $1,083.66	Professional		$411.74	$761.72	$1,083.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,953.68 / $10,802.03 / $26,542.00	Facility		$1,953.68	$10,802.03	$26,542.00
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $10,306.59 / $16,203.05 / $31,346.52	Facility	50	$10,306.59	$16,203.05	$31,346.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $692.78 / $1,148.39 / $3,814.08	Professional		$692.78	$1,148.39	$3,814.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,186.71 / $2,186.71 / $3,643.05	Facility		$2,186.71	$2,186.71	$3,643.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $586.00 / $987.21 / $1,566.84	Professional		$586.00	$987.21	$1,566.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $519.54 / $903.81 / $3,225.00	Facility		$519.54	$903.81	$3,225.00
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $6,433.53 / $9,505.52 / $22,870.24	Facility	50	$6,433.53	$9,505.52	$22,870.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $552.97 / $903.81 / $1,620.00	Professional		$552.97	$903.81	$1,620.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.10 / $263.46 / $1,079.11	Professional		$74.10	$263.46	$1,079.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $675.71 / $944.03 / $1,053.91	Facility		$675.71	$944.03	$1,053.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $703.96 / $718.86 / $1,239.50	Facility		$703.96	$718.86	$1,239.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $694.34 / $992.67 / $1,356.74	Professional		$694.34	$992.67	$1,356.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,004.63 / $10,795.86 / $20,663.07	Facility		$7,004.63	$10,795.86	$20,663.07
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,506.95 / $16,193.79 / $30,994.61	Facility	50	$10,506.95	$16,193.79	$30,994.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $675.28 / $918.28 / $1,266.66	Professional		$675.28	$918.28	$1,266.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $609.84 / $1,021.37 / $1,507.15	Professional		$609.84	$1,021.37	$1,507.15