Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.05 / $400.31 / $13,750.00	Facility		$43.05	$400.31	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.70 / $81.72 / $236.37	Professional		$30.70	$81.72	$236.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $308.82 / $2,583.03 / $6,683.07	Facility		$308.82	$2,583.03	$6,683.07
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $2,799.32 / $3,874.55 / $7,495.73	Facility	50	$2,799.32	$3,874.55	$7,495.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $63.36 / $1,928.00	Professional		$41.73	$63.36	$1,928.00
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $72.15 / $100.89 / $211.19	Professional	50	$72.15	$100.89	$211.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $500.00 / $568.48	Facility		$466.83	$500.00	$568.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.26 / $82.28 / $231.22	Professional		$40.26	$82.28	$231.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $84.03 / $213.44 / $840.73	Facility		$84.03	$213.44	$840.73
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $1,907.75 / $2,550.75 / $5,846.21	Facility	50	$1,907.75	$2,550.75	$5,846.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $200.82 / $534.96	Professional		$79.09	$200.82	$534.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $50.60 / $89.76	Professional		$9.03	$50.60	$89.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $67.00 / $299.63	Facility		$54.95	$67.00	$299.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.39 / $45.70 / $927.31	Facility		$44.39	$45.70	$927.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.53 / $59.69 / $83.30	Professional		$42.53	$59.69	$83.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,674.98 / $2,581.55 / $4,941.05	Facility		$1,674.98	$2,581.55	$4,941.05
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,512.46 / $3,872.33 / $7,411.58	Facility	50	$2,512.46	$3,872.33	$7,411.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $56.84 / $81.34	Professional		$38.77	$56.84	$81.34
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $77.41 / $293.94	Professional		$41.71	$77.41	$293.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $27.61 / $36.13	Professional		$25.47	$27.61	$36.13