Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.82 / $8,165.98 / $35,131.94	Facility		$542.82	$8,165.98	$35,131.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.60 / $3,392.92 / $6,635.85	Professional		$307.60	$3,392.92	$6,635.85
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $502.36 / $502.36 / $502.36	Professional	50	$502.36	$502.36	$502.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,628.95 / $29,304.00 / $59,636.26	Facility		$4,628.95	$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 Professional Modifier Low / Median / High Price $516.23 / $6,202.06 / $24,855.44	Professional		$516.23	$6,202.06	$24,855.44
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $793.53 / $9,198.83 / $11,691.00	Professional	50	$793.53	$9,198.83	$11,691.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,822.50 / $16,822.50 / $16,822.50	Facility		$16,822.50	$16,822.50	$16,822.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $473.95 / $956.92 / $10,388.29	Professional		$473.95	$956.92	$10,388.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $471.97 / $6,323.56 / $11,637.18	Facility		$471.97	$6,323.56	$11,637.18
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $33,286.90 / $49,142.49 / $89,234.73	Facility	50	$33,286.90	$49,142.49	$89,234.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $462.86 / $5,058.84 / $11,228.44	Professional		$462.86	$5,058.84	$11,228.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $839.20 / $5,114.26 / $8,561.72	Professional		$839.20	$5,114.26	$8,561.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.48 / $6,385.24 / $7,822.25	Facility		$630.48	$6,385.24	$7,822.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,628.95 / $4,628.95 / $4,871.10	Facility		$4,628.95	$4,628.95	$4,871.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $513.78 / $994.04 / $8,485.06	Professional		$513.78	$994.04	$8,485.06
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 $495.55 / $917.69 / $7,839.85	Professional		$495.55	$917.69	$7,839.85
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $13,441.00 / $26,100.00	Facility		$3,340.00	$13,441.00	$26,100.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,884.19 / $6,076.20 / $9,486.24	Professional		$3,884.19	$6,076.20	$9,486.24