Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.28 / $7,748.69 / $28,163.96	Facility		$602.28	$7,748.69	$28,163.96
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,715.75 / $10,754.00 / $18,283.98	Facility	50	$3,715.75	$10,754.00	$18,283.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.24 / $570.45 / $1,121.02	Professional		$351.24	$570.45	$1,121.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $238.01 / $393.79 / $445.84	Professional		$238.01	$393.79	$445.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,126.02 / $10,802.03 / $20,663.07	Facility		$6,126.02	$10,802.03	$20,663.07
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $10,306.59 / $16,203.05 / $31,346.52	Facility	50	$10,306.59	$16,203.05	$31,346.52
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $616.04 / $1,097.26 / $3,918.08	Professional		$616.04	$1,097.26	$3,918.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,186.71 / $2,186.71 / $3,643.05	Facility		$2,186.71	$2,186.71	$3,643.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.08 / $908.81 / $1,336.33	Professional		$558.08	$908.81	$1,336.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $546.84 / $926.48 / $6,300.19	Facility		$546.84	$926.48	$6,300.19
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $6,300.19 / $9,505.52 / $22,870.24	Facility	50	$6,300.19	$9,505.52	$22,870.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $552.98 / $907.70 / $2,454.52	Professional		$552.98	$907.70	$2,454.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $486.35 / $966.70	Professional		$81.90	$486.35	$966.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $611.44 / $845.54 / $893.78	Facility		$611.44	$845.54	$893.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $595.70 / $609.64 / $1,239.50	Facility		$595.70	$609.64	$1,239.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.51 / $1,016.91 / $1,250.35	Professional		$627.51	$1,016.91	$1,250.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,004.63 / $10,795.86 / $20,663.07	Facility		$7,004.63	$10,795.86	$20,663.07
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,506.95 / $16,193.79 / $30,994.61	Facility	50	$10,506.95	$16,193.79	$30,994.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $607.53 / $875.30 / $1,181.26	Professional		$607.53	$875.30	$1,181.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $538.47 / $932.15 / $1,276.40	Professional		$538.47	$932.15	$1,276.40