Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.14 / $2,769.52 / $18,711.00	Facility		$267.14	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.44 / $398.88 / $938.91	Professional		$143.44	$398.88	$938.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $535.45 / $5,128.70 / $10,466.57	Facility		$535.45	$5,128.70	$10,466.57
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $6,292.82 / $8,207.42 / $15,878.12	Facility	50	$6,292.82	$8,207.42	$15,878.12
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $305.30 / $534.08 / $534.08	Facility	52	$305.30	$534.08	$534.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $256.32 / $733.29 / $3,102.00	Professional		$256.32	$733.29	$3,102.00
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $357.08 / $445.26 / $1,259.61	Professional	50	$357.08	$445.26	$1,259.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,190.81	Facility		$714.97	$870.49	$2,190.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.62 / $437.19 / $1,102.50	Professional		$189.62	$437.19	$1,102.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $191.55 / $493.57 / $1,644.07	Facility		$191.55	$493.57	$1,644.07
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $5,380.34 / $6,538.69 / $15,732.05	Facility	50	$5,380.34	$6,538.69	$15,732.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.55 / $453.57 / $1,269.36	Professional		$191.55	$453.57	$1,269.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.68 / $407.53 / $889.93	Professional		$45.68	$407.53	$889.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $365.19 / $754.13 / $803.76	Facility		$365.19	$754.13	$803.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $532.86 / $535.45 / $1,795.87	Facility		$532.86	$535.45	$1,795.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.50 / $484.79 / $970.19	Professional		$243.50	$484.79	$970.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,992.55 / $5,471.61 / $10,466.57	Facility		$3,992.55	$5,471.61	$10,466.57
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $5,988.83 / $8,207.42 / $15,699.86	Facility	50	$5,988.83	$8,207.42	$15,699.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $232.09 / $471.39 / $961.72	Professional		$232.09	$471.39	$961.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $485.94 / $671.06 / $1,123.84	Professional		$485.94	$671.06	$1,123.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $156.99 / $316.37 / $435.20	Professional		$156.99	$316.37	$435.20