Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.12 / $1,448.10 / $7,931.94	Facility		$131.12	$1,448.10	$7,931.94
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $49.22 / $104.76 / $352.63	Facility	52	$49.22	$104.76	$352.63
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $19.69 / $41.90 / $141.05	Facility	53	$19.69	$41.90	$141.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $168.93 / $506.61	Professional		$68.34	$168.93	$506.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $83.47 / $142.84	Professional		$44.39	$83.47	$142.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $422.54 / $2,434.52 / $12,000.00	Facility		$422.54	$2,434.52	$12,000.00
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $147.82 / $262.79 / $262.79	Facility	52	$147.82	$262.79	$262.79
Asuris Northwest Health Facility/Professional Facility Modifier 53 Low / Median / High Price $36.95 / $65.70 / $65.70	Facility	53	$36.95	$65.70	$65.70
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $114.48 / $520.21 / $2,112.88	Professional		$114.48	$520.21	$2,112.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,159.36	Facility		$466.83	$568.48	$1,159.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.06 / $237.25 / $808.10	Professional		$95.06	$237.25	$808.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $259.57 / $875.49	Facility		$102.60	$259.57	$875.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $231.56 / $741.57	Professional		$98.87	$231.56	$741.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.91 / $439.40 / $742.38	Professional		$70.91	$439.40	$742.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $203.32 / $487.09 / $574.86	Facility		$203.32	$487.09	$574.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.11 / $400.45 / $671.06	Facility		$392.11	$400.45	$671.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.38 / $245.69 / $746.55	Professional		$117.38	$245.69	$746.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,679.53 / $2,590.05 / $4,954.47	Facility		$1,679.53	$2,590.05	$4,954.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $119.52 / $245.31 / $651.65	Professional		$119.52	$245.31	$651.65
United Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $887.00 / $4,611.00	Facility		$425.00	$887.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $235.33 / $461.97 / $819.86	Professional		$235.33	$461.97	$819.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.20 / $232.17 / $323.45	Professional		$77.20	$232.17	$323.45