Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.65 / $8,617.81 / $28,117.48	Facility		$430.65	$8,617.81	$28,117.48
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,454.02 / $14,172.37 / $28,117.48	Facility	50	$2,454.02	$14,172.37	$28,117.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.07 / $430.65 / $1,069.09	Professional		$355.07	$430.65	$1,069.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $235.88 / $546.99 / $2,795.80	Professional	50	$235.88	$546.99	$2,795.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,296.15 / $19,395.98 / $37,102.31	Facility		$11,296.15	$19,395.98	$37,102.31
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $18,840.11 / $29,093.97 / $56,285.37	Facility	50	$18,840.11	$29,093.97	$56,285.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $458.52 / $757.77 / $6,125.60	Professional		$458.52	$757.77	$6,125.60
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $496.29 / $932.94 / $1,185.32	Professional	50	$496.29	$932.94	$1,185.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,448.94 / $3,448.94 / $5,745.89	Facility		$3,448.94	$3,448.94	$5,745.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.68 / $665.25 / $968.92	Professional		$411.68	$665.25	$968.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $789.56 / $7,779.83	Facility		$462.00	$789.56	$7,779.83
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $7,779.83 / $16,834.43 / $39,920.99	Facility	50	$7,779.83	$16,834.43	$39,920.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $470.50 / $724.98 / $3,871.31	Professional		$470.50	$724.98	$3,871.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.98 / $537.18 / $879.52	Professional		$83.98	$537.18	$879.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $529.65 / $625.11 / $770.50	Facility		$529.65	$625.11	$770.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $431.71 / $440.09 / $2,096.73	Facility		$431.71	$440.09	$2,096.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.46 / $734.09 / $902.62	Professional		$469.46	$734.09	$902.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,577.42 / $19,384.89 / $37,102.31	Facility		$12,577.42	$19,384.89	$37,102.31
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $18,866.13 / $29,077.34 / $55,653.47	Facility	50	$18,866.13	$29,077.34	$55,653.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $440.29 / $633.08 / $852.74	Professional		$440.29	$633.08	$852.74
United Facility/Professional Facility Modifier Low / Median / High Price $7,198.00 / $24,758.75 / $39,602.19	Facility		$7,198.00	$24,758.75	$39,602.19
United Facility/Professional Professional Modifier Low / Median / High Price $418.95 / $713.31 / $975.94	Professional		$418.95	$713.31	$975.94