Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.37 / $6,470.00 / $20,680.40	Facility		$468.37	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.93 / $1,471.64 / $5,660.30	Professional		$230.93	$1,471.64	$5,660.30
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $5,615.42 / $5,896.19 / $5,896.19	Professional	50	$5,615.42	$5,896.19	$5,896.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,235.47 / $18,231.29 / $37,102.31	Facility		$4,235.47	$18,231.29	$37,102.31
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $21,234.27 / $29,093.97 / $56,285.37	Facility	50	$21,234.27	$29,093.97	$56,285.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $462.38 / $5,695.19 / $22,772.24	Professional		$462.38	$5,695.19	$22,772.24
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $392.03 / $831.00 / $8,421.00	Professional	50	$392.03	$831.00	$8,421.00
Asuris Northwest Health Facility/Professional Professional Modifier AS Low / Median / High Price $36.59 / $66.89 / $840.80	Professional	AS	$36.59	$66.89	$840.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,421.10 / $4,421.10 / $7,365.50	Facility		$4,421.10	$4,421.10	$7,365.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.30 / $844.10 / $9,552.48	Professional		$410.30	$844.10	$9,552.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $397.30 / $4,962.53 / $10,564.37	Facility		$397.30	$4,962.53	$10,564.37
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $17,754.22 / $18,498.43 / $44,507.16	Facility	50	$17,754.22	$18,498.43	$44,507.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $397.30 / $4,656.37 / $9,767.37	Professional		$397.30	$4,656.37	$9,767.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $769.67 / $4,912.27 / $8,100.48	Professional		$769.67	$4,912.27	$8,100.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $473.36 / $5,824.77 / $7,035.67	Facility		$473.36	$5,824.77	$7,035.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,096.73 / $4,235.47 / $4,424.89	Facility		$2,096.73	$4,235.47	$4,424.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $438.50 / $848.38 / $8,273.04	Professional		$438.50	$848.38	$8,273.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,152.94 / $19,384.89 / $37,102.31	Facility		$14,152.94	$19,384.89	$37,102.31
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $21,229.41 / $29,077.34 / $55,653.47	Facility	50	$21,229.41	$29,077.34	$55,653.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $445.42 / $2,241.42 / $7,196.60	Professional		$445.42	$2,241.42	$7,196.60
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 $4,492.85 / $6,841.37 / $9,802.58	Professional		$4,492.85	$6,841.37	$9,802.58