Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.31 / $845.46 / $17,446.50	Facility		$448.31	$845.46	$17,446.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,980.00 / $2,077.00 / $2,325.32	Facility	50	$1,980.00	$2,077.00	$2,325.32
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $267.70 / $417.62 / $589.42	Facility	54	$267.70	$417.62	$589.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.80 / $356.93 / $784.01	Professional		$243.80	$356.93	$784.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $442.29 / $1,575.45 / $2,704.50	Professional	50	$442.29	$1,575.45	$2,704.50
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $176.15 / $273.36 / $576.65	Professional	54	$176.15	$273.36	$576.65
Aetna Facility/Professional Professional Modifier 55 Low / Median / High Price $35.22 / $54.67 / $117.25	Professional	55	$35.22	$54.67	$117.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $192.87 / $192.87 / $192.87	Professional		$192.87	$192.87	$192.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $229.15 / $1,646.32 / $3,151.02	Facility		$229.15	$1,646.32	$3,151.02
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $1,816.02 / $2,470.89 / $4,780.18	Facility	50	$1,816.02	$2,470.89	$4,780.18
Asuris Northwest Health Facility/Professional Facility Modifier 54 Low / Median / High Price $426.19 / $740.71 / $740.71	Facility	54	$426.19	$740.71	$740.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $369.64 / $587.20 / $2,831.00	Professional		$369.64	$587.20	$2,831.00
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $558.44 / $702.69 / $1,243.50	Professional	50	$558.44	$702.69	$1,243.50
Asuris Northwest Health Facility/Professional Professional Modifier 54 Low / Median / High Price $408.54 / $421.61 / $421.61	Professional	54	$408.54	$421.61	$421.61
Asuris Northwest Health Facility/Professional Professional Modifier 55 Low / Median / High Price $45.39 / $46.85 / $56.90	Professional	55	$45.39	$46.85	$56.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.51 / $427.51 / $479.00	Facility		$427.51	$427.51	$479.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.45 / $469.54 / $904.64	Professional		$277.45	$469.54	$904.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $216.38 / $438.12 / $733.62	Facility		$216.38	$438.12	$733.62
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $1,444.17 / $1,588.70 / $4,299.31	Facility	50	$1,444.17	$1,588.70	$4,299.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.10 / $451.36 / $733.62	Professional		$218.10	$451.36	$733.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.05 / $278.11 / $668.62	Professional		$44.05	$278.11	$668.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $560.79 / $601.09	Facility		$379.00	$560.79	$601.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.15 / $397.28 / $408.10	Facility		$229.15	$397.28	$408.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.74 / $551.34 / $765.79	Professional		$383.74	$551.34	$765.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,195.59 / $1,646.32 / $3,151.02	Facility		$1,195.59	$1,646.32	$3,151.02
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $1,793.40 / $2,469.48 / $4,726.53	Facility	50	$1,793.40	$2,469.48	$4,726.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $316.47 / $519.16 / $736.55	Professional		$316.47	$519.16	$736.55
United Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $648.00 / $4,611.00	Facility		$332.00	$648.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.51 / $523.11 / $839.02	Professional		$374.51	$523.11	$839.02