Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.95 / $337.83 / $14,464.32	Facility		$82.95	$337.83	$14,464.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $638.99 / $638.99 / $638.99	Facility	50	$638.99	$638.99	$638.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.42 / $102.39 / $284.27	Professional		$54.42	$102.39	$284.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $126.14 / $272.45 / $646.98	Professional	50	$126.14	$272.45	$646.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $110.53 / $786.75 / $1,605.58	Facility		$110.53	$786.75	$1,605.58
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $905.78 / $1,259.03 / $2,435.71	Facility	50	$905.78	$1,259.03	$2,435.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $132.47 / $1,017.00	Professional		$74.48	$132.47	$1,017.00
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $130.56 / $217.50 / $261.00	Professional	50	$130.56	$217.50	$261.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.52 / $500.00 / $568.48	Facility		$119.52	$500.00	$568.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.13 / $135.12 / $238.48	Professional		$77.13	$135.12	$238.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $83.16 / $149.40 / $263.67	Facility		$83.16	$149.40	$263.67
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $813.82 / $1,164.01 / $2,113.65	Facility	50	$813.82	$1,164.01	$2,113.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.16 / $145.19 / $246.08	Professional		$83.16	$145.19	$246.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $151.02 / $268.41	Professional		$27.05	$151.02	$268.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $131.99 / $158.47 / $217.46	Facility		$131.99	$158.47	$217.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.64 / $110.53 / $119.04	Facility		$39.64	$110.53	$119.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.01 / $116.59 / $202.80	Professional		$77.01	$116.59	$202.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $544.28 / $838.87 / $1,605.58	Facility		$544.28	$838.87	$1,605.58
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $816.42 / $1,258.31 / $2,408.37	Facility	50	$816.42	$1,258.31	$2,408.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.67 / $112.73 / $188.92	Professional		$70.67	$112.73	$188.92
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.71 / $152.00 / $237.51	Professional		$84.71	$152.00	$237.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.95 / $67.08 / $90.18	Professional		$47.95	$67.08	$90.18