Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $914.87 / $1,486.12 / $24,745.50	Facility		$914.87	$1,486.12	$24,745.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,018.90 / $2,827.05 / $25,765.30	Professional		$1,018.90	$2,827.05	$25,765.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $888.35 / $888.35 / $960.38	Professional		$888.35	$888.35	$960.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,866.55 / $29,304.00 / $59,636.26	Facility		$10,866.55	$29,304.00	$59,636.26
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $35,720.43 / $46,764.08 / $90,470.07	Facility	50	$35,720.43	$46,764.08	$90,470.07
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $122.79 / $229.04 / $229.04	Facility	AS	$122.79	$229.04	$229.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $897.84 / $14,611.58 / $58,323.36	Professional		$897.84	$14,611.58	$58,323.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $821.31 / $10,258.49 / $25,824.06	Facility		$821.31	$10,258.49	$25,824.06
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $29,292.16 / $49,142.49 / $89,234.73	Facility	50	$29,292.16	$49,142.49	$89,234.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $804.02 / $8,965.82 / $23,143.70	Professional		$804.02	$8,965.82	$23,143.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,953.76 / $11,957.06 / $19,864.58	Professional		$1,953.76	$11,957.06	$19,864.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,120.55 / $14,890.04 / $19,095.00	Facility		$1,120.55	$14,890.04	$19,095.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,866.55 / $10,866.55 / $11,664.75	Facility		$10,866.55	$10,866.55	$11,664.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $867.22 / $1,677.86 / $19,918.83	Professional		$867.22	$1,677.86	$19,918.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,748.67 / $31,176.05 / $59,636.26	Facility		$22,748.67	$31,176.05	$59,636.26
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $34,123.01 / $46,764.08 / $89,454.39	Facility	50	$34,123.01	$46,764.08	$89,454.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $838.99 / $1,548.99 / $18,404.16	Professional		$838.99	$1,548.99	$18,404.16
United Facility/Professional Professional Modifier Low / Median / High Price $12,397.42 / $17,806.00 / $24,957.75	Professional		$12,397.42	$17,806.00	$24,957.75