Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.41 / $9,673.00 / $18,681.96	Facility		$486.41	$9,673.00	$18,681.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.02 / $446.25 / $1,015.20	Professional		$363.02	$446.25	$1,015.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,968.10 / $9,879.37 / $25,560.89	Facility		$5,968.10	$9,879.37	$25,560.89
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $10,712.31 / $14,819.07 / $28,669.05	Facility	50	$10,712.31	$14,819.07	$28,669.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $490.63 / $813.69 / $5,068.89	Professional		$490.63	$813.69	$5,068.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,353.44 / $2,353.44 / $3,920.80	Facility		$2,353.44	$2,353.44	$3,920.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.98 / $714.81 / $1,049.56	Professional		$456.98	$714.81	$1,049.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $435.43 / $841.07 / $6,620.15	Facility		$435.43	$841.07	$6,620.15
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $6,620.15 / $13,249.69 / $31,878.69	Facility	50	$6,620.15	$13,249.69	$31,878.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $448.49 / $785.19 / $2,641.65	Professional		$448.49	$785.19	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.29 / $591.20 / $967.53	Professional		$92.29	$591.20	$967.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $507.15 / $681.80 / $704.78	Facility		$507.15	$681.80	$704.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $464.33 / $476.65 / $1,470.05	Facility		$464.33	$476.65	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.84 / $795.08 / $977.60	Professional		$498.84	$795.08	$977.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,406.33 / $9,879.37 / $18,898.13	Facility		$6,406.33	$9,879.37	$18,898.13
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $9,609.50 / $14,819.07 / $28,347.20	Facility	50	$9,609.50	$14,819.07	$28,347.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $473.55 / $685.67 / $923.58	Professional		$473.55	$685.67	$923.58
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 $450.12 / $705.06 / $997.43	Professional		$450.12	$705.06	$997.43