Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.02 / $1,267.99 / $17,930.00	Facility		$192.02	$1,267.99	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.70 / $447.77 / $916.75	Professional		$117.70	$447.77	$916.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $987.86 / $987.86 / $987.86	Professional	50	$987.86	$987.86	$987.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $939.81 / $1,890.68	Facility		$55.00	$939.81	$1,890.68
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $2,836.02 / $2,836.02 / $2,836.02	Facility	50	$2,836.02	$2,836.02	$2,836.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $192.20 / $993.52 / $4,525.52	Professional		$192.20	$993.52	$4,525.52
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $252.45 / $760.49 / $1,391.15	Professional	50	$252.45	$760.49	$1,391.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.40 / $370.94 / $1,494.69	Professional		$140.40	$370.94	$1,494.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $150.24 / $426.56 / $1,374.64	Facility		$150.24	$426.56	$1,374.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.53 / $426.56 / $1,374.64	Professional		$154.53	$426.56	$1,374.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.27 / $814.13 / $1,375.59	Professional		$135.27	$814.13	$1,375.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $248.83 / $955.42 / $1,065.30	Facility		$248.83	$955.42	$1,065.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $726.63 / $726.63 / $765.12	Facility		$726.63	$726.63	$765.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.22 / $624.54 / $1,442.29	Professional		$189.22	$624.54	$1,442.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $192.10 / $395.08 / $1,234.64	Professional		$192.10	$395.08	$1,234.64
United Facility/Professional Facility Modifier Low / Median / High Price $414.00 / $666.00 / $6,216.00	Facility		$414.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $566.61 / $947.22 / $1,638.77	Professional		$566.61	$947.22	$1,638.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.59 / $107.59 / $582.72	Professional		$107.59	$107.59	$582.72