Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.48 / $297.89 / $6,470.00	Facility		$97.48	$297.89	$6,470.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $365.90 / $607.50 / $9,162.09	Facility	50	$365.90	$607.50	$9,162.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $105.63 / $353.61	Professional		$51.64	$105.63	$353.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $220.77 / $540.23 / $804.00	Professional	50	$220.77	$540.23	$804.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $55.75 / $262.74	Professional		$54.30	$55.75	$262.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $214.79 / $362.00 / $692.47	Facility		$214.79	$362.00	$692.47
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $340.92 / $340.92 / $340.92	Facility	50	$340.92	$340.92	$340.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $102.46 / $297.74 / $1,154.72	Professional		$102.46	$297.74	$1,154.72
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $86.17 / $162.41 / $427.50	Professional	50	$86.17	$162.41	$427.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.14 / $168.68 / $477.88	Professional		$90.14	$168.68	$477.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $85.41 / $141.10 / $380.38	Facility		$85.41	$141.10	$380.38
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $284.85 / $380.38 / $915.18	Facility	50	$284.85	$380.38	$915.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.41 / $141.10 / $341.63	Professional		$85.41	$141.10	$341.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $221.32 / $364.68	Professional		$34.67	$221.32	$364.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $113.23 / $256.63 / $314.89	Facility		$113.23	$256.63	$314.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.79 / $214.79 / $215.63	Facility		$214.79	$214.79	$215.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.88 / $187.91 / $395.91	Professional		$100.88	$187.91	$395.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $234.74 / $361.80 / $692.47	Facility		$234.74	$361.80	$692.47
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $270.60 / $270.60 / $340.92	Facility	50	$270.60	$270.60	$340.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $98.66 / $173.48 / $363.78	Professional		$98.66	$173.48	$363.78
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.61 / $281.89 / $458.60	Professional		$147.61	$281.89	$458.60