Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.74 / $2,094.67 / $7,920.26	Facility		$221.74	$2,094.67	$7,920.26
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $73.61 / $161.71 / $391.02	Facility	52	$73.61	$161.71	$391.02
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $29.44 / $64.68 / $156.41	Facility	53	$29.44	$64.68	$156.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.37 / $323.42 / $768.08	Professional		$98.37	$323.42	$768.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $642.26	Professional		$205.70	$205.70	$642.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $287.80 / $1,673.37 / $3,405.45	Facility		$287.80	$1,673.37	$3,405.45
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $2,039.78 / $2,670.41 / $5,166.18	Facility	50	$2,039.78	$2,670.41	$5,166.18
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $221.70 / $388.74 / $388.74	Facility	52	$221.70	$388.74	$388.74
Asuris Northwest Health Facility/Professional Facility Modifier 53 Low / Median / High Price $55.42 / $97.18 / $97.18	Facility	53	$55.42	$97.18	$97.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $188.83 / $566.89 / $1,853.05	Professional		$188.83	$566.89	$1,853.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.46 / $472.46 / $787.12	Facility		$472.46	$472.46	$787.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.99 / $345.34 / $954.13	Professional		$172.99	$345.34	$954.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $174.94 / $477.82 / $1,594.34	Facility		$174.94	$477.82	$1,594.34
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $1,505.22 / $2,601.75 / $6,259.79	Facility	50	$1,505.22	$2,601.75	$6,259.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.10 / $404.88 / $1,030.31	Professional		$172.10	$404.88	$1,030.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.21 / $496.69 / $816.21	Professional		$78.21	$496.69	$816.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $215.74 / $552.08 / $643.87	Facility		$215.74	$552.08	$643.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $287.80 / $427.30 / $437.60	Facility		$287.80	$427.30	$437.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.90 / $355.81 / $838.18	Professional		$183.90	$355.81	$838.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,200.26 / $1,780.27 / $3,405.45	Facility		$1,200.26	$1,780.27	$3,405.45
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,800.39 / $2,670.41 / $5,108.18	Facility	50	$1,800.39	$2,670.41	$5,108.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.81 / $352.71 / $726.03	Professional		$186.81	$352.71	$726.03
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.27 / $704.19 / $998.40	Professional		$395.27	$704.19	$998.40