Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.78 / $4,225.12 / $8,414.49	Facility		$152.78	$4,225.12	$8,414.49
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $53.06 / $91.02 / $438.59	Facility	52	$53.06	$91.02	$438.59
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $21.22 / $36.40 / $175.44	Facility	53	$21.22	$36.40	$175.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $331.36 / $619.40	Professional		$81.62	$331.36	$619.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $477.85 / $4,266.04 / $8,681.78	Facility		$477.85	$4,266.04	$8,681.78
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $169.36 / $297.91 / $297.91	Facility	52	$169.36	$297.91	$297.91
Asuris Northwest Health Facility/Professional Facility Modifier 53 Low / Median / High Price $42.34 / $74.48 / $74.48	Facility	53	$42.34	$74.48	$74.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $140.90 / $689.00 / $2,780.16	Professional		$140.90	$689.00	$2,780.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,497.91 / $1,497.91 / $1,497.91	Facility		$1,497.91	$1,497.91	$1,497.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $446.64 / $1,150.59	Professional		$131.16	$446.64	$1,150.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $140.30 / $614.76 / $1,436.16	Facility		$140.30	$614.76	$1,436.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.97 / $513.79 / $1,050.50	Professional		$132.97	$513.79	$1,050.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $591.55 / $974.71	Professional		$95.80	$591.55	$974.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $163.47 / $723.05 / $806.48	Facility		$163.47	$723.05	$806.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $514.58 / $514.58 / $537.26	Facility		$514.58	$514.58	$537.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.22 / $271.30 / $943.25	Professional		$140.22	$271.30	$943.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,183.01 / $4,535.97 / $8,681.78	Facility		$3,183.01	$4,535.97	$8,681.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $133.01 / $250.47 / $871.52	Professional		$133.01	$250.47	$871.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $7,385.00	Facility		$1,120.00	$3,323.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $500.72 / $728.00 / $1,118.04	Professional		$500.72	$728.00	$1,118.04