Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.28 / $9,095.84 / $17,123.00	Facility		$505.28	$9,095.84	$17,123.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $133.75 / $332.62 / $1,868.85	Facility	52	$133.75	$332.62	$1,868.85
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $53.50 / $133.05 / $747.54	Facility	53	$53.50	$133.05	$747.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.23 / $405.82 / $2,372.46	Professional		$266.23	$405.82	$2,372.46
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $53.25 / $84.81 / $602.77	Professional	53	$53.25	$84.81	$602.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,131.86 / $8,859.76 / $22,922.83	Facility		$2,131.86	$8,859.76	$22,922.83
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $465.32 / $840.46 / $840.46	Facility	52	$465.32	$840.46	$840.46
Asuris Northwest Health Facility/Professional Facility Modifier 53 Low / Median / High Price $116.33 / $210.11 / $210.11	Facility	53	$116.33	$210.11	$210.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $419.46 / $2,461.00 / $9,714.64	Professional		$419.46	$2,461.00	$9,714.64
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 $370.54 / $726.52 / $4,044.65	Professional		$370.54	$726.52	$4,044.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $361.88 / $735.50 / $3,631.57	Facility		$361.88	$735.50	$3,631.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $359.38 / $698.61 / $3,477.78	Professional		$359.38	$698.61	$3,477.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $2,036.42 / $3,330.39	Professional		$318.75	$2,036.42	$3,330.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $465.73 / $2,262.37 / $2,804.39	Facility		$465.73	$2,262.37	$2,804.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,367.95 / $1,807.44 / $1,883.12	Facility		$1,367.95	$1,807.44	$1,883.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.05 / $769.43 / $3,504.06	Professional		$413.05	$769.43	$3,504.06
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 $371.03 / $710.34 / $3,061.17	Professional		$371.03	$710.34	$3,061.17
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 $743.60 / $2,855.66 / $3,910.27	Professional		$743.60	$2,855.66	$3,910.27