Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.94 / $1,545.91 / $14,679.60	Facility		$954.94	$1,545.91	$14,679.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,059.90 / $2,949.16 / $15,336.20	Professional		$1,059.90	$2,949.16	$15,336.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $906.90 / $906.90 / $906.90	Professional		$906.90	$906.90	$906.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,544.78 / $29,304.00 / $59,636.26	Facility		$5,544.78	$29,304.00	$59,636.26
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $35,388.69 / $46,764.08 / $90,470.07	Facility	50	$35,388.69	$46,764.08	$90,470.07
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $128.32 / $238.88 / $238.88	Facility	AS	$128.32	$238.88	$238.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $953.71 / $7,740.85 / $29,736.32	Professional		$953.71	$7,740.85	$29,736.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $855.10 / $7,949.38 / $14,495.19	Facility		$855.10	$7,949.38	$14,495.19
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $13,797.66 / $49,142.49 / $89,234.73	Facility	50	$13,797.66	$49,142.49	$89,234.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $837.12 / $6,450.03 / $13,916.38	Professional		$837.12	$6,450.03	$13,916.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,001.62 / $6,119.69 / $10,239.54	Professional		$1,001.62	$6,119.69	$10,239.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,069.32 / $7,822.36 / $10,398.99	Facility		$1,069.32	$7,822.36	$10,398.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,544.78 / $5,544.78 / $5,898.97	Facility		$5,544.78	$5,544.78	$5,898.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $904.00 / $1,749.02 / $10,163.81	Professional		$904.00	$1,749.02	$10,163.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20,216.27 / $31,176.05 / $59,636.26	Facility		$20,216.27	$31,176.05	$59,636.26
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $30,324.41 / $46,764.08 / $89,454.39	Facility	50	$30,324.41	$46,764.08	$89,454.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $871.85 / $1,614.68 / $9,390.94	Professional		$871.85	$1,614.68	$9,390.94
United Facility/Professional Professional Modifier Low / Median / High Price $5,903.10 / $8,824.33 / $12,696.48	Professional		$5,903.10	$8,824.33	$12,696.48