Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.06 / $1,216.03 / $18,711.00	Facility		$677.06	$1,216.03	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.74 / $513.80 / $1,051.97	Professional		$320.74	$513.80	$1,051.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $925.25 / $6,622.22 / $14,645.34	Facility		$925.25	$6,622.22	$14,645.34
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $6,634.41 / $9,933.33 / $19,217.09	Facility	50	$6,634.41	$9,933.33	$19,217.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $627.87 / $1,019.45 / $3,628.37	Professional		$627.87	$1,019.45	$3,628.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $2,430.19	Facility		$734.00	$734.00	$2,430.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.48 / $685.93 / $1,340.57	Professional		$425.48	$685.93	$1,340.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $448.53 / $833.46 / $1,802.15	Facility		$448.53	$833.46	$1,802.15
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $5,752.58 / $6,328.28 / $15,568.54	Facility	50	$5,752.58	$6,328.28	$15,568.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $452.75 / $853.53 / $1,296.08	Professional		$452.75	$853.53	$1,296.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $274.03 / $904.16	Professional		$39.24	$274.03	$904.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $627.42 / $867.65 / $937.33	Facility		$627.42	$867.65	$937.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $623.33 / $623.33 / $683.38	Facility		$623.33	$623.33	$683.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $596.04 / $859.14 / $1,202.76	Professional		$596.04	$859.14	$1,202.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,294.21 / $6,618.43 / $12,667.56	Facility		$4,294.21	$6,618.43	$12,667.56
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $6,441.32 / $9,927.65 / $19,001.34	Facility	50	$6,441.32	$9,927.65	$19,001.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $491.57 / $851.04 / $1,211.53	Professional		$491.57	$851.04	$1,211.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,862.00 / $10,522.00	Facility		$1,224.00	$1,862.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $528.30 / $719.45 / $1,294.59	Professional		$528.30	$719.45	$1,294.59