Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.99 / $837.27 / $12,832.10	Facility		$335.99	$837.27	$12,832.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,399.87 / $10,677.93 / $10,677.93	Facility	50	$9,399.87	$10,677.93	$10,677.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.39 / $312.68 / $632.59	Professional		$199.39	$312.68	$632.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,419.00 / $4,594.55 / $11,887.47	Facility		$1,419.00	$4,594.55	$11,887.47
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $5,034.33 / $6,891.83 / $13,332.98	Facility	50	$5,034.33	$6,891.83	$13,332.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $352.82 / $645.64 / $2,279.67	Professional		$352.82	$645.64	$2,279.67
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $428.91 / $846.00 / $1,078.50	Professional	50	$428.91	$846.00	$1,078.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,677.65 / $1,677.65 / $1,677.65	Facility		$1,677.65	$1,677.65	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.08 / $541.72 / $936.30	Professional		$317.08	$541.72	$936.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $297.91 / $523.01 / $1,436.99	Facility		$297.91	$523.01	$1,436.99
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $4,544.87 / $6,231.33 / $11,315.07	Facility	50	$4,544.87	$6,231.33	$11,315.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.52 / $500.38 / $874.51	Professional		$298.52	$500.38	$874.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $256.05 / $640.97	Professional		$38.97	$256.05	$640.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $381.64 / $583.61 / $635.12	Facility		$381.64	$583.61	$635.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.38 / $426.38 / $427.18	Facility		$426.38	$426.38	$427.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.14 / $511.83 / $780.31	Professional		$351.14	$511.83	$780.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,264.85 / $4,591.92 / $8,788.86	Facility		$3,264.85	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $4,897.28 / $6,887.88 / $13,183.29	Facility	50	$4,897.28	$6,887.88	$13,183.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $328.49 / $472.91 / $722.14	Professional		$328.49	$472.91	$722.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $1,802.00 / $6,857.00	Facility		$1,120.00	$1,802.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.24 / $598.98 / $906.60	Professional		$383.24	$598.98	$906.60