Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $677.66 / $12,214.00	Facility		$244.07	$677.66	$12,214.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,846.92 / $9,896.75 / $10,809.00	Facility	50	$2,846.92	$9,896.75	$10,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.59 / $316.82 / $660.66	Professional		$180.59	$316.82	$660.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.28 / $384.23 / $1,020.05	Professional	50	$125.28	$384.23	$1,020.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,171.38 / $4,809.85 / $12,000.00	Facility		$1,171.38	$4,809.85	$12,000.00
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 $295.26 / $479.06 / $2,210.82	Professional		$295.26	$479.06	$2,210.82
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $255.33 / $546.00 / $741.09	Professional	50	$255.33	$546.00	$741.09
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 $270.22 / $455.93 / $760.16	Professional		$270.22	$455.93	$760.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $251.98 / $449.74 / $1,528.00	Facility		$251.98	$449.74	$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 $251.98 / $444.40 / $795.00	Professional		$251.98	$444.40	$795.00
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 $323.61 / $482.08 / $554.13	Facility		$323.61	$482.08	$554.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.49 / $344.12 / $676.20	Facility		$337.49	$344.12	$676.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.77 / $430.00 / $630.79	Professional		$295.77	$430.00	$630.79
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 $292.47 / $405.49 / $584.70	Professional		$292.47	$405.49	$584.70
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 $318.33 / $530.94 / $727.02	Professional		$318.33	$530.94	$727.02