Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.38 / $475.31 / $17,930.00	Facility		$205.38	$475.31	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.81 / $149.35 / $302.95	Professional		$95.81	$149.35	$302.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $783.06 / $6,603.99 / $12,632.68	Facility		$783.06	$6,603.99	$12,632.68
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $7,016.81 / $9,905.99 / $19,164.18	Facility	50	$7,016.81	$9,905.99	$19,164.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $201.29 / $366.55 / $1,321.60	Professional		$201.29	$366.55	$1,321.60
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $332.96 / $418.62 / $784.50	Professional	50	$332.96	$418.62	$784.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.00 / $479.00 / $2,876.24	Facility		$479.00	$479.00	$2,876.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.18 / $231.11 / $517.75	Professional		$130.18	$231.11	$517.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $138.58 / $260.26 / $2,120.86	Facility		$138.58	$260.26	$2,120.86
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $5,875.62 / $6,463.64 / $16,692.80	Facility	50	$5,875.62	$6,463.64	$16,692.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.91 / $261.14 / $1,485.98	Professional		$138.91	$261.14	$1,485.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.10 / $229.59 / $407.12	Professional		$41.10	$229.59	$407.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $200.96 / $314.23 / $356.44	Facility		$200.96	$314.23	$356.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.83 / $237.83 / $243.12	Facility		$237.83	$237.83	$243.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.61 / $283.39 / $445.66	Professional		$181.61	$283.39	$445.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,282.39 / $6,600.21 / $12,632.68	Facility		$4,282.39	$6,600.21	$12,632.68
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $6,423.59 / $9,900.32 / $18,949.02	Facility	50	$6,423.59	$9,900.32	$18,949.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $148.30 / $257.80 / $439.07	Professional		$148.30	$257.80	$439.07
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,050.00 / $6,857.00	Facility		$500.00	$1,050.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.12 / $269.66 / $486.09	Professional		$198.12	$269.66	$486.09