Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.38 / $620.30 / $12,214.00	Facility		$159.38	$620.30	$12,214.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $59.59 / $126.46 / $310.16	Facility	52	$59.59	$126.46	$310.16
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $23.84 / $50.59 / $124.06	Facility	53	$23.84	$50.59	$124.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.06 / $216.03 / $501.38	Professional		$91.06	$216.03	$501.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $611.94 / $2,511.87 / $12,000.00	Facility		$611.94	$2,511.87	$12,000.00
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $177.84 / $342.02 / $342.02	Facility	52	$177.84	$342.02	$342.02
Asuris Northwest Health Facility/Professional Facility Modifier 53 Low / Median / High Price $44.46 / $85.51 / $85.51	Facility	53	$44.46	$85.51	$85.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $146.36 / $478.98 / $1,943.60	Professional		$146.36	$478.98	$1,943.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,192.33	Facility		$466.83	$568.48	$1,192.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.75 / $265.83 / $741.17	Professional		$119.75	$265.83	$741.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $134.16 / $295.68 / $870.00	Facility		$134.16	$295.68	$870.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.50 / $261.43 / $703.42	Professional		$126.50	$261.43	$703.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.05 / $383.69 / $648.75	Professional		$62.05	$383.69	$648.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $276.98 / $461.63 / $529.29	Facility		$276.98	$461.63	$529.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $361.03 / $416.80 / $666.60	Facility		$361.03	$416.80	$666.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.41 / $309.73 / $683.80	Professional		$143.41	$309.73	$683.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,814.55 / $2,568.87 / $4,913.96	Facility		$1,814.55	$2,568.87	$4,913.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $146.13 / $313.58 / $600.01	Professional		$146.13	$313.58	$600.01
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.25 / $413.40 / $768.53	Professional		$256.25	$413.40	$768.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $215.06 / $296.79	Professional		$92.77	$215.06	$296.79