Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $605.40 / $1,257.61 / $18,711.00	Facility		$605.40	$1,257.61	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.58 / $497.69 / $1,052.07	Professional		$277.58	$497.69	$1,052.07
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 $564.02 / $1,035.95 / $3,700.00	Professional		$564.02	$1,035.95	$3,700.00
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 $375.15 / $644.13 / $1,419.26	Professional		$375.15	$644.13	$1,419.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $369.32 / $736.70 / $1,802.15	Facility		$369.32	$736.70	$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 $371.69 / $739.80 / $1,330.70	Professional		$371.69	$739.80	$1,330.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $281.13 / $930.36	Professional		$39.38	$281.13	$930.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $556.91 / $888.05 / $980.21	Facility		$556.91	$888.05	$980.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $657.76 / $657.76 / $747.64	Facility		$657.76	$657.76	$747.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.42 / $823.46 / $1,225.56	Professional		$535.42	$823.46	$1,225.56
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 $438.44 / $781.33 / $1,255.98	Professional		$438.44	$781.33	$1,255.98
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 $482.30 / $764.39 / $1,385.11	Professional		$482.30	$764.39	$1,385.11