Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $680.18 / $1,159.15 / $17,100.00	Facility		$680.18	$1,159.15	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.18 / $465.64 / $949.74	Professional		$344.18	$465.64	$949.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $925.25 / $6,622.22 / $14,645.34	Facility		$925.25	$6,622.22	$14,645.34
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $6,634.41 / $9,933.33 / $19,217.09	Facility	50	$6,634.41	$9,933.33	$19,217.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $597.42 / $1,033.06 / $3,307.73	Professional		$597.42	$1,033.06	$3,307.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.00 / $642.00 / $2,430.19	Facility		$642.00	$642.00	$2,430.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.09 / $693.60 / $1,326.80	Professional		$419.09	$693.60	$1,326.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $485.05 / $878.52 / $1,802.15	Facility		$485.05	$878.52	$1,802.15
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $5,752.58 / $6,328.28 / $15,568.54	Facility	50	$5,752.58	$6,328.28	$15,568.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $485.80 / $883.56 / $1,278.83	Professional		$485.80	$883.56	$1,278.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.86 / $268.21 / $846.66	Professional		$69.86	$268.21	$846.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.72 / $833.48 / $885.07	Facility		$602.72	$833.48	$885.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $585.28 / $585.28 / $666.23	Facility		$585.28	$585.28	$666.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $603.70 / $905.86 / $1,131.68	Professional		$603.70	$905.86	$1,131.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,294.21 / $6,618.43 / $12,667.56	Facility		$4,294.21	$6,618.43	$12,667.56
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $6,441.32 / $9,927.65 / $19,001.34	Facility	50	$6,441.32	$9,927.65	$19,001.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $523.45 / $846.80 / $1,194.84	Professional		$523.45	$846.80	$1,194.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,862.00 / $10,522.00	Facility		$1,224.00	$1,862.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $507.00 / $678.25 / $1,241.26	Professional		$507.00	$678.25	$1,241.26