Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.37 / $807.20 / $11,374.68	Facility		$276.37	$807.20	$11,374.68
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $35.29 / $87.27 / $152.76	Facility	53	$35.29	$87.27	$152.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.23 / $280.14 / $763.82	Professional		$175.23	$280.14	$763.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $879.65 / $8,859.76 / $16,947.71	Facility		$879.65	$8,859.76	$16,947.71
Asuris Northwest Health Facility/Professional Facility Modifier 53 Low / Median / High Price $76.50 / $138.36 / $138.36	Facility	53	$76.50	$138.36	$138.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $274.64 / $674.00 / $2,665.36	Professional		$274.64	$674.00	$2,665.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,380.38 / $2,380.38 / $3,965.68	Facility		$2,380.38	$2,380.38	$3,965.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.02 / $449.87 / $1,097.88	Professional		$243.02	$449.87	$1,097.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $237.07 / $438.15 / $2,679.56	Facility		$237.07	$438.15	$2,679.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.07 / $424.16 / $1,182.23	Professional		$237.07	$424.16	$1,182.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.62 / $555.06 / $907.90	Professional		$86.62	$555.06	$907.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $315.20 / $562.65 / $726.28	Facility		$315.20	$562.65	$726.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $495.39 / $502.83 / $1,367.95	Facility		$495.39	$502.83	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.39 / $494.64 / $928.89	Professional		$270.39	$494.64	$928.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,745.15 / $8,854.69 / $16,947.71	Facility		$5,745.15	$8,854.69	$16,947.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $242.86 / $465.00 / $839.02	Professional		$242.86	$465.00	$839.02
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 $388.92 / $736.82 / $1,059.15	Professional		$388.92	$736.82	$1,059.15