Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.03 / $386.13 / $9,703.00	Facility		$106.03	$386.13	$9,703.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $140.69 / $356.92	Professional		$66.62	$140.69	$356.92
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $342.67 / $342.67 / $342.67	Professional	50	$342.67	$342.67	$342.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $200.39 / $1,916.28 / $4,334.10	Facility		$200.39	$1,916.28	$4,334.10
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $2,245.42 / $2,939.66 / $5,687.07	Facility	50	$2,245.42	$2,939.66	$5,687.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $106.56 / $261.52 / $1,181.28	Professional		$106.56	$261.52	$1,181.28
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $174.38 / $464.06 / $464.06	Professional	50	$174.38	$464.06	$464.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.80 / $500.00 / $568.48	Facility		$239.80	$500.00	$568.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.39 / $186.49 / $429.71	Professional		$86.39	$186.49	$429.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $91.71 / $175.85 / $349.81	Facility		$91.71	$175.85	$349.81
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $1,907.75 / $1,928.84 / $4,640.79	Facility	50	$1,907.75	$1,928.84	$4,640.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.71 / $173.54 / $336.47	Professional		$91.71	$173.54	$336.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $201.32 / $357.49	Professional		$36.31	$201.32	$357.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $145.94 / $255.94 / $318.92	Facility		$145.94	$255.94	$318.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.73 / $170.33 / $217.53	Facility		$66.73	$170.33	$217.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.66 / $208.25 / $382.37	Professional		$114.66	$208.25	$382.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,430.01 / $1,958.65 / $3,748.81	Facility		$1,430.01	$1,958.65	$3,748.81
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,145.02 / $2,937.98 / $5,623.22	Facility	50	$2,145.02	$2,937.98	$5,623.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $90.83 / $173.71 / $341.29	Professional		$90.83	$173.71	$341.29
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 $153.51 / $221.56 / $457.91	Professional		$153.51	$221.56	$457.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.38 / $129.19 / $174.83	Professional		$75.38	$129.19	$174.83