Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.56 / $1,348.53 / $14,464.32	Facility		$332.56	$1,348.53	$14,464.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,621.79 / $10,621.79 / $10,621.79	Facility	50	$10,621.79	$10,621.79	$10,621.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.77 / $468.51 / $1,292.39	Professional		$165.77	$468.51	$1,292.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $717.95 / $9,975.20 / $20,300.41	Facility		$717.95	$9,975.20	$20,300.41
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $10,614.14 / $15,918.68 / $30,796.38	Facility	50	$10,614.14	$15,918.68	$30,796.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $326.80 / $961.29 / $3,869.76	Professional		$326.80	$961.29	$3,869.76
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $275.54 / $523.26 / $1,178.81	Professional	50	$275.54	$523.26	$1,178.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,289.46 / $2,289.46 / $3,814.21	Facility		$2,289.46	$2,289.46	$3,814.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.61 / $585.32 / $1,598.71	Professional		$290.61	$585.32	$1,598.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $279.58 / $746.41 / $3,163.58	Facility		$279.58	$746.41	$3,163.58
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $8,873.99 / $9,245.96 / $22,245.75	Facility	50	$8,873.99	$9,245.96	$22,245.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $277.51 / $597.13 / $1,715.88	Professional		$277.51	$597.13	$1,715.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.49 / $830.53 / $1,364.89	Professional		$130.49	$830.53	$1,364.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $349.07 / $948.05 / $1,078.48	Facility		$349.07	$948.05	$1,078.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $717.95 / $724.35 / $1,366.31	Facility		$717.95	$724.35	$1,366.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.76 / $599.30 / $1,377.40	Professional		$309.76	$599.30	$1,377.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,076.09 / $10,606.39 / $20,300.41	Facility		$7,076.09	$10,606.39	$20,300.41
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,614.14 / $15,909.59 / $30,450.63	Facility	50	$10,614.14	$15,909.59	$30,450.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $314.66 / $627.92 / $1,215.95	Professional		$314.66	$627.92	$1,215.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $650.90 / $1,149.89 / $1,512.39	Professional		$650.90	$1,149.89	$1,512.39