Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.14 / $2,334.12 / $12,214.00	Facility		$359.14	$2,334.12	$12,214.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,379.91 / $4,053.00 / $4,053.00	Facility	50	$1,379.91	$4,053.00	$4,053.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.03 / $246.82 / $607.33	Professional		$138.03	$246.82	$607.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $342.56 / $542.16 / $1,936.50	Professional	50	$342.56	$542.16	$1,936.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $380.07 / $2,689.32 / $5,488.32	Facility		$380.07	$2,689.32	$5,488.32
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $2,954.69 / $4,303.70 / $8,325.95	Facility	50	$2,954.69	$4,303.70	$8,325.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $283.14 / $556.16 / $2,232.84	Professional		$283.14	$556.16	$2,232.84
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $400.29 / $688.50 / $826.50	Professional	50	$400.29	$688.50	$826.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.32 / $454.32 / $479.00	Facility		$454.32	$454.32	$479.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.59 / $353.09 / $746.78	Professional		$185.59	$353.09	$746.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $195.40 / $343.08 / $719.78	Facility		$195.40	$343.08	$719.78
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $2,374.37 / $2,611.98 / $7,087.32	Facility	50	$2,374.37	$2,611.98	$7,087.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.11 / $347.84 / $686.03	Professional		$197.11	$347.84	$686.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.16 / $237.66 / $612.85	Professional		$37.16	$237.66	$612.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $300.83 / $505.73 / $560.79	Facility		$300.83	$505.73	$560.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.50 / $380.07 / $382.51	Facility		$224.50	$380.07	$382.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.92 / $401.45 / $705.01	Professional		$256.92	$401.45	$705.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,860.50 / $2,805.46 / $5,488.32	Facility		$1,860.50	$2,805.46	$5,488.32
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $2,790.75 / $4,208.18 / $8,232.48	Facility	50	$2,790.75	$4,208.18	$8,232.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $210.67 / $387.62 / $690.36	Professional		$210.67	$387.62	$690.36
United Facility/Professional Facility Modifier Low / Median / High Price $496.00 / $1,120.00 / $6,857.00	Facility		$496.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $332.22 / $442.96 / $797.99	Professional		$332.22	$442.96	$797.99