Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.07 / $698.66 / $14,464.32	Facility		$149.07	$698.66	$14,464.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,798.50 / $6,985.21 / $7,858.37	Facility	50	$2,798.50	$6,985.21	$7,858.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $213.36 / $535.33	Professional		$74.48	$213.36	$535.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $559.28 / $836.01	Facility		$55.00	$559.28	$836.01
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,254.02 / $1,254.02 / $1,254.02	Facility	50	$1,254.02	$1,254.02	$1,254.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $142.01 / $559.04 / $2,655.53	Professional		$142.01	$559.04	$2,655.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.11 / $263.85 / $834.69	Professional		$100.11	$263.85	$834.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $116.64 / $234.50 / $619.87	Facility		$116.64	$234.50	$619.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $234.50 / $699.42	Professional		$117.25	$234.50	$699.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $486.99 / $818.29	Professional		$81.52	$486.99	$818.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $296.51 / $494.18 / $613.72	Facility		$296.51	$494.18	$613.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $418.61 / $418.61 / $441.68	Facility		$418.61	$418.61	$441.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.05 / $363.89 / $830.90	Professional		$145.05	$363.89	$830.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.26 / $302.85 / $695.70	Professional		$147.26	$302.85	$695.70
United Facility/Professional Facility Modifier Low / Median / High Price $414.00 / $666.00 / $6,216.00	Facility		$414.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $301.70 / $519.21 / $911.45	Professional		$301.70	$519.21	$911.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.09 / $85.09 / $343.57	Professional		$85.09	$85.09	$343.57