Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.54 / $1,710.00 / $13,750.00	Facility		$155.54	$1,710.00	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $189.37 / $477.45	Professional		$72.40	$189.37	$477.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $386.01 / $2,583.03 / $6,683.07	Facility		$386.01	$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 $138.29 / $321.08 / $1,998.00	Professional		$138.29	$321.08	$1,998.00
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $205.83 / $256.67 / $727.28	Professional	50	$205.83	$256.67	$727.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,132.06	Facility		$466.83	$568.48	$1,132.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.23 / $235.98 / $654.86	Professional		$103.23	$235.98	$654.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $102.96 / $236.57 / $840.73	Facility		$102.96	$236.57	$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 $102.96 / $227.47 / $687.71	Professional		$102.96	$227.47	$687.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.97 / $301.88 / $538.56	Professional		$53.97	$301.88	$538.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $171.68 / $371.64 / $463.64	Facility		$171.68	$371.64	$463.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $308.82 / $314.83 / $927.31	Facility		$308.82	$314.83	$927.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.19 / $282.42 / $572.61	Professional		$140.19	$282.42	$572.61
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 $134.09 / $272.93 / $546.54	Professional		$134.09	$272.93	$546.54
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 $243.60 / $353.23 / $652.66	Professional		$243.60	$353.23	$652.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.36 / $186.62 / $257.50	Professional		$91.36	$186.62	$257.50