Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.06 / $733.62 / $11,522.02	Facility		$295.06	$733.62	$11,522.02
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,675.50 / $5,968.62 / $8,652.00	Facility	50	$4,675.50	$5,968.62	$8,652.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.27 / $309.05 / $634.85	Professional		$166.27	$309.05	$634.85
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $404.99 / $546.32 / $950.00	Professional	50	$404.99	$546.32	$950.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,120.02 / $4,809.85 / $12,444.54	Facility		$1,120.02	$4,809.85	$12,444.54
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $5,510.97 / $7,214.79 / $13,957.79	Facility	50	$5,510.97	$7,214.79	$13,957.79
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $287.32 / $481.49 / $3,411.19	Professional		$287.32	$481.49	$3,411.19
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $206.49 / $464.76 / $620.70	Professional	50	$206.49	$464.76	$620.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,126.23 / $1,126.23 / $1,876.28	Facility		$1,126.23	$1,126.23	$1,876.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.42 / $444.13 / $780.05	Professional		$258.42	$444.13	$780.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $243.69 / $438.33 / $1,528.00	Facility		$243.69	$438.33	$1,528.00
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $4,829.01 / $5,516.87 / $11,618.58	Facility	50	$4,829.01	$5,516.87	$11,618.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $243.69 / $413.97 / $821.29	Professional		$243.69	$413.97	$821.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $443.72 / $726.28	Professional		$68.86	$443.72	$726.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $302.89 / $483.07 / $538.41	Facility		$302.89	$483.07	$538.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $345.64 / $353.72 / $676.20	Facility		$345.64	$353.72	$676.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.92 / $418.89 / $648.38	Professional		$285.92	$418.89	$648.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,509.68 / $4,807.10 / $9,200.71	Facility		$3,509.68	$4,807.10	$9,200.71
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $5,264.52 / $7,210.67 / $13,801.08	Facility	50	$5,264.52	$7,210.67	$13,801.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $279.63 / $404.82 / $601.01	Professional		$279.63	$404.82	$601.01
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $321.20 / $557.62 / $745.37	Professional		$321.20	$557.62	$745.37