Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.06 / $817.69 / $12,214.00	Facility		$71.06	$817.69	$12,214.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,625.55 / $3,625.55 / $3,625.55	Facility	50	$3,625.55	$3,625.55	$3,625.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.53 / $170.48 / $781.21	Professional		$55.53	$170.48	$781.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $306.32 / $1,819.61 / $3,703.07	Facility		$306.32	$1,819.61	$3,703.07
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $2,218.04 / $2,903.78 / $5,617.67	Facility	50	$2,218.04	$2,903.78	$5,617.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $94.54 / $750.92 / $3,009.28	Professional		$94.54	$750.92	$3,009.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.17 / $449.17 / $748.32	Facility		$449.17	$449.17	$748.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $297.80 / $1,252.65	Professional		$83.76	$297.80	$1,252.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $85.02 / $421.82 / $1,056.58	Facility		$85.02	$421.82	$1,056.58
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $1,870.55 / $2,089.52 / $5,027.38	Facility	50	$1,870.55	$2,089.52	$5,027.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.01 / $362.43 / $848.86	Professional		$84.01	$362.43	$848.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.22 / $663.12 / $1,100.33	Professional		$104.22	$663.12	$1,100.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $108.33 / $648.84 / $818.74	Facility		$108.33	$648.84	$818.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.32 / $558.45 / $587.99	Facility		$306.32	$558.45	$587.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.65 / $173.46 / $1,089.29	Professional		$89.65	$173.46	$1,089.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,412.56 / $1,934.75 / $3,703.07	Facility		$1,412.56	$1,934.75	$3,703.07
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,118.84 / $2,902.13 / $5,554.61	Facility	50	$2,118.84	$2,902.13	$5,554.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.01 / $327.45 / $945.83	Professional		$84.01	$327.45	$945.83
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,611.00	Facility		$591.00	$1,106.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $448.98 / $850.61 / $1,215.57	Professional		$448.98	$850.61	$1,215.57