Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.16 / $6,445.89 / $24,827.00	Facility		$311.16	$6,445.89	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.82 / $2,347.26 / $4,527.39	Professional		$150.82	$2,347.26	$4,527.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,183.44 / $15,599.20 / $31,745.76	Facility		$1,183.44	$15,599.20	$31,745.76
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $14,800.41 / $18,614.93 / $31,518.77	Facility	50	$14,800.41	$18,614.93	$31,518.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $306.79 / $3,050.76 / $18,421.36	Professional		$306.79	$3,050.76	$18,421.36
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $259.05 / $490.88 / $6,814.50	Professional	50	$259.05	$490.88	$6,814.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,977.85 / $5,977.85 / $9,959.02	Facility		$5,977.85	$5,977.85	$9,959.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.91 / $563.80 / $7,734.06	Professional		$272.91	$563.80	$7,734.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $261.05 / $4,505.53 / $8,733.74	Facility		$261.05	$4,505.53	$8,733.74
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $18,564.08 / $19,342.25 / $46,537.36	Facility	50	$18,564.08	$19,342.25	$46,537.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.05 / $3,868.56 / $8,308.95	Professional		$261.05	$3,868.56	$8,308.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $603.61 / $3,894.69 / $6,082.42	Professional		$603.61	$3,894.69	$6,082.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $339.02 / $4,705.64 / $5,406.00	Facility		$339.02	$4,705.64	$5,406.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,426.59 / $3,601.35 / $3,656.92	Facility		$3,426.59	$3,601.35	$3,656.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.80 / $562.62 / $6,707.90	Professional		$290.80	$562.62	$6,707.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,109.64 / $16,595.73 / $31,745.76	Facility		$12,109.64	$16,595.73	$31,745.76
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $14,800.41 / $22,204.43 / $31,518.77	Facility	50	$14,800.41	$22,204.43	$31,518.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $295.39 / $3,121.97 / $5,822.20	Professional		$295.39	$3,121.97	$5,822.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,922.61 / $5,259.85 / $8,032.09	Professional		$3,922.61	$5,259.85	$8,032.09