Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.78 / $143.09 / $14,464.32	Facility		$33.78	$143.09	$14,464.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,869.00 / $1,869.00 / $1,869.00	Facility	50	$1,869.00	$1,869.00	$1,869.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $44.31 / $67.09	Professional		$20.74	$44.31	$67.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $14.55 / $44.36 / $60.44	Professional	50	$14.55	$44.36	$60.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $361.80 / $706.71	Facility		$55.00	$361.80	$706.71
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $323.37 / $323.37 / $323.37	Facility	50	$323.37	$323.37	$323.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $51.56 / $392.47	Professional		$30.12	$51.56	$392.47
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $35.28 / $66.80 / $97.50	Professional	50	$35.28	$66.80	$97.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.57 / $51.05 / $74.45	Professional		$24.57	$51.05	$74.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $47.75 / $69.61 / $126.11	Facility		$47.75	$69.61	$126.11
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $315.92 / $347.54 / $915.18	Facility	50	$315.92	$347.54	$915.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.43 / $67.23 / $112.54	Professional		$47.43	$67.23	$112.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $12.68 / $20.92	Professional		$1.39	$12.68	$20.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $50.25 / $99.41	Facility		$30.78	$50.25	$99.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.01 / $25.37 / $25.59	Facility		$21.01	$25.37	$25.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $44.90 / $56.69	Professional		$30.12	$44.90	$56.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $234.74 / $361.80 / $692.47	Facility		$234.74	$361.80	$692.47
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $256.68 / $256.68 / $323.37	Facility	50	$256.68	$256.68	$323.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $25.87 / $42.08 / $58.44	Professional		$25.87	$42.08	$58.44
United Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $414.00 / $5,793.00	Facility		$118.00	$414.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $47.96 / $71.03	Professional		$31.50	$47.96	$71.03