Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.75 / $2,951.50 / $8,122.17	Facility		$344.75	$2,951.50	$8,122.17
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $94.07 / $288.58 / $491.08	Facility	52	$94.07	$288.58	$491.08
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $37.63 / $80.78 / $184.59	Facility	53	$37.63	$80.78	$184.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $304.72 / $922.95	Professional		$130.50	$304.72	$922.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.86 / $215.89 / $267.64	Professional		$99.86	$215.89	$267.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $638.08 / $2,511.87 / $16,394.00	Facility		$638.08	$2,511.87	$16,394.00
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $280.58 / $496.53 / $496.53	Facility	52	$280.58	$496.53	$496.53
Asuris Northwest Health Facility/Professional Facility Modifier 53 Low / Median / High Price $70.14 / $124.13 / $124.13	Facility	53	$70.14	$124.13	$124.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $228.26 / $687.53 / $2,784.32	Professional		$228.26	$687.53	$2,784.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,192.33	Facility		$625.25	$761.81	$1,192.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.46 / $410.62 / $1,057.49	Professional		$185.46	$410.62	$1,057.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $214.32 / $472.68 / $987.84	Facility		$214.32	$472.68	$987.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.00 / $415.00 / $925.19	Professional		$202.00	$415.00	$925.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.66 / $547.91 / $932.60	Professional		$88.66	$547.91	$932.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $401.87 / $677.68 / $758.44	Facility		$401.87	$677.68	$758.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $430.83 / $526.84 / $666.60	Facility		$430.83	$526.84	$666.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.80 / $455.88 / $981.14	Professional		$224.80	$455.88	$981.14
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 $229.71 / $498.39 / $873.07	Professional		$229.71	$498.39	$873.07
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 $383.63 / $622.58 / $1,077.30	Professional		$383.63	$622.58	$1,077.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $144.66 / $304.77 / $418.54	Professional		$144.66	$304.77	$418.54