Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.79 / $316.82 / $18,711.00	Facility		$208.79	$316.82	$18,711.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,230.00 / $10,230.00 / $10,230.00	Facility	50	$10,230.00	$10,230.00	$10,230.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.68 / $145.90 / $286.75	Professional		$106.68	$145.90	$286.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $172.38 / $172.38 / $435.47	Professional	50	$172.38	$172.38	$435.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $89.14 / $825.07 / $1,579.18	Facility		$89.14	$825.07	$1,579.18
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $962.58 / $1,238.33 / $2,395.67	Facility	50	$962.58	$1,238.33	$2,395.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $183.41 / $309.20 / $1,236.02	Professional		$183.41	$309.20	$1,236.02
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $273.56 / $388.37 / $565.50	Professional	50	$273.56	$388.37	$565.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.47 / $188.47 / $479.00	Facility		$188.47	$188.47	$479.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $214.89 / $414.38	Professional		$128.00	$214.89	$414.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $96.15 / $175.68 / $323.14	Facility		$96.15	$175.68	$323.14
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $720.25 / $792.33 / $2,456.67	Facility	50	$720.25	$792.33	$2,456.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.76 / $183.50 / $331.00	Professional		$96.76	$183.50	$331.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $152.09 / $264.27	Professional		$27.16	$152.09	$264.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $175.87 / $243.21 / $270.01	Facility		$175.87	$243.21	$270.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.14 / $179.84 / $184.17	Facility		$89.14	$179.84	$184.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.17 / $282.77 / $347.81	Professional		$184.17	$282.77	$347.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $602.39 / $825.55 / $1,579.18	Facility		$602.39	$825.55	$1,579.18
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $903.59 / $1,238.33 / $2,368.77	Facility	50	$903.59	$1,238.33	$2,368.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.62 / $258.56 / $343.41	Professional		$162.62	$258.56	$343.41
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 $151.97 / $207.35 / $372.58	Professional		$151.97	$207.35	$372.58