Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.39 / $521.00 / $13,750.00	Facility		$175.39	$521.00	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $153.50 / $311.89	Professional		$85.00	$153.50	$311.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $245.98 / $2,689.32 / $5,488.32	Facility		$245.98	$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 $172.19 / $360.84 / $1,564.20	Professional		$172.19	$360.84	$1,564.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.00 / $479.00 / $1,174.76	Facility		$479.00	$479.00	$1,174.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $221.11 / $530.16	Professional		$115.68	$221.11	$530.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $122.59 / $244.77 / $827.06	Facility		$122.59	$244.77	$827.06
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 $123.71 / $244.97 / $606.92	Professional		$123.71	$244.97	$606.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $253.53 / $444.13	Professional		$45.46	$253.53	$444.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $187.00 / $324.27 / $369.24	Facility		$187.00	$324.27	$369.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.98 / $245.98 / $342.88	Facility		$245.98	$245.98	$342.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.04 / $253.97 / $461.93	Professional		$155.04	$253.97	$461.93
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 $127.05 / $250.87 / $453.91	Professional		$127.05	$250.87	$453.91
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,050.00 / $6,857.00	Facility		$500.00	$1,050.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.55 / $280.56 / $495.99	Professional		$206.55	$280.56	$495.99