Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.13 / $5,663.86 / $48,241.81	Facility		$701.13	$5,663.86	$48,241.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $404.06 / $1,753.53 / $3,480.11	Professional		$404.06	$1,753.53	$3,480.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $731.47 / $731.47 / $731.47	Professional		$731.47	$731.47	$731.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,269.92 / $29,222.24 / $59,636.26	Facility		$2,269.92	$29,222.24	$59,636.26
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $30,202.68 / $46,764.08 / $90,470.07	Facility	50	$30,202.68	$46,764.08	$90,470.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $681.59 / $3,160.01 / $14,418.08	Professional		$681.59	$3,160.01	$14,418.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,476.09 / $18,476.09 / $18,476.09	Facility		$18,476.09	$18,476.09	$18,476.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.37 / $2,356.17 / $5,080.26	Professional		$608.37	$2,356.17	$5,080.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $617.48 / $3,004.75 / $10,488.49	Facility		$617.48	$3,004.75	$10,488.49
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $10,488.49 / $19,774.45 / $50,029.96	Facility	50	$10,488.49	$19,774.45	$50,029.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $605.94 / $2,403.80 / $5,673.42	Professional		$605.94	$2,403.80	$5,673.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $414.37 / $2,520.07 / $4,227.49	Professional		$414.37	$2,520.07	$4,227.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $956.76 / $3,182.88 / $4,054.45	Facility		$956.76	$3,182.88	$4,054.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,269.92 / $2,269.92 / $2,419.02	Facility		$2,269.92	$2,269.92	$2,419.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $658.03 / $1,273.13 / $4,160.85	Professional		$658.03	$1,273.13	$4,160.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20,135.12 / $30,484.25 / $59,636.26	Facility		$20,135.12	$30,484.25	$59,636.26
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $30,202.68 / $45,726.38 / $89,454.39	Facility	50	$30,202.68	$45,726.38	$89,454.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $632.82 / $1,175.33 / $3,844.46	Professional		$632.82	$1,175.33	$3,844.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $20,708.00	Facility		$3,028.00	$11,540.00	$20,708.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,422.19 / $3,524.08 / $5,205.39	Professional		$2,422.19	$3,524.08	$5,205.39