Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.74 / $3,272.11 / $7,392.82	Facility		$276.74	$3,272.11	$7,392.82
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $40.59 / $65.95 / $393.44	Facility	53	$40.59	$65.95	$393.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.25 / $452.70 / $1,484.93	Professional		$136.25	$452.70	$1,484.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $625.69 / $4,318.66 / $8,788.86	Facility		$625.69	$4,318.66	$8,788.86
Asuris Northwest Health Facility/Professional Facility Modifier 53 Low / Median / High Price $77.11 / $135.34 / $135.34	Facility	53	$77.11	$135.34	$135.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $270.41 / $1,257.30 / $6,211.20	Professional		$270.41	$1,257.30	$6,211.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,007.00 / $1,007.00 / $1,677.65	Facility		$1,007.00	$1,007.00	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.70 / $669.96 / $2,585.55	Professional		$239.70	$669.96	$2,585.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $238.71 / $1,187.47 / $2,739.81	Facility		$238.71	$1,187.47	$2,739.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.71 / $1,060.58 / $2,467.55	Professional		$238.71	$1,060.58	$2,467.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $201.13 / $1,312.51 / $2,032.41	Professional		$201.13	$1,312.51	$2,032.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $272.95 / $1,511.64 / $1,803.36	Facility		$272.95	$1,511.64	$1,803.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $625.69 / $1,150.73 / $1,201.35	Facility		$625.69	$1,150.73	$1,201.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.32 / $495.91 / $2,243.46	Professional		$256.32	$495.91	$2,243.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,352.57 / $4,594.55 / $8,788.86	Facility		$3,352.57	$4,594.55	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $260.37 / $668.87 / $1,949.88	Professional		$260.37	$668.87	$1,949.88
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 $1,244.32 / $1,872.93 / $2,693.05	Professional		$1,244.32	$1,872.93	$2,693.05