Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $320.97 / $14,464.32	Facility		$112.20	$320.97	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $133.76 / $332.84	Professional		$60.54	$133.76	$332.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $144.25 / $625.00 / $625.00	Professional	50	$144.25	$625.00	$625.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $184.63 / $419.07 / $12,000.00	Facility		$184.63	$419.07	$12,000.00
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $628.61 / $628.61 / $1,273.67	Facility	50	$628.61	$628.61	$1,273.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $106.89 / $247.21 / $1,159.28	Professional		$106.89	$247.21	$1,159.28
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $166.64 / $386.16 / $406.50	Professional	50	$166.64	$386.16	$406.50
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 $82.69 / $160.26 / $380.33	Professional		$82.69	$160.26	$380.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $79.56 / $151.81 / $292.22	Facility		$79.56	$151.81	$292.22
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $976.01 / $976.01 / $976.01	Facility	50	$976.01	$976.01	$976.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $152.68 / $292.22	Professional		$81.00	$152.68	$292.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $201.32 / $357.49	Professional		$36.19	$201.32	$357.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $132.24 / $231.42 / $270.68	Facility		$132.24	$231.42	$270.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.92 / $183.92 / $184.63	Facility		$183.92	$183.92	$184.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $176.75 / $335.07	Professional		$101.60	$176.75	$335.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $673.98 / $673.98 / $849.11	Facility		$673.98	$673.98	$849.11
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,010.97 / $1,010.97 / $1,273.67	Facility	50	$1,010.97	$1,010.97	$1,273.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.47 / $187.57 / $319.27	Professional		$97.47	$187.57	$319.27
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 $111.82 / $190.68 / $357.38	Professional		$111.82	$190.68	$357.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $110.70 / $149.94	Professional		$64.31	$110.70	$149.94