Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.72 / $470.07 / $9,703.00	Facility		$140.72	$470.07	$9,703.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $357.95 / $482.58 / $1,958.25	Facility	50	$357.95	$482.58	$1,958.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $187.42 / $527.49	Professional		$71.48	$187.42	$527.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $55.99 / $394.06 / $473.83	Professional	50	$55.99	$394.06	$473.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $259.81 / $375.95 / $11,500.00	Facility		$259.81	$375.95	$11,500.00
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $389.72 / $543.00 / $1,050.50	Facility	50	$389.72	$543.00	$1,050.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $139.44 / $465.70 / $1,799.04	Professional		$139.44	$465.70	$1,799.04
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $119.68 / $222.18 / $664.50	Professional	50	$119.68	$222.18	$664.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.20 / $99.20 / $165.26	Facility		$99.20	$99.20	$165.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.58 / $248.44 / $743.06	Professional		$122.58	$248.44	$743.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $106.13 / $196.35 / $519.29	Facility		$106.13	$196.35	$519.29
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 $111.34 / $196.35 / $525.65	Professional		$111.34	$196.35	$525.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.38 / $388.05 / $634.63	Professional		$60.38	$388.05	$634.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $154.77 / $396.77 / $490.44	Facility		$154.77	$396.77	$490.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.04 / $334.52 / $337.49	Facility		$60.04	$334.52	$337.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.18 / $255.74 / $620.12	Professional		$132.18	$255.74	$620.12
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 $352.11 / $542.70 / $1,038.71	Facility	50	$352.11	$542.70	$1,038.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $133.61 / $249.43 / $566.57	Professional		$133.61	$249.43	$566.57
United Facility/Professional Facility Modifier Low / Median / High Price $233.54 / $910.00 / $5,793.00	Facility		$233.54	$910.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $272.58 / $486.80 / $718.33	Professional		$272.58	$486.80	$718.33