Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.88 / $1,234.48 / $18,711.00	Facility		$575.88	$1,234.48	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.74 / $474.13 / $1,078.33	Professional		$284.74	$474.13	$1,078.33
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $254.18 / $254.18 / $254.18	Professional	50	$254.18	$254.18	$254.18
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 $538.75 / $989.48 / $3,571.45	Professional		$538.75	$989.48	$3,571.45
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $789.50 / $1,394.87 / $1,650.00	Professional	50	$789.50	$1,394.87	$1,650.00
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 $360.79 / $624.70 / $1,392.03	Professional		$360.79	$624.70	$1,392.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $345.34 / $699.93 / $1,802.15	Facility		$345.34	$699.93	$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 $357.12 / $704.18 / $1,308.28	Professional		$357.12	$704.18	$1,308.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $271.34 / $881.29	Professional		$39.46	$271.34	$881.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $522.79 / $856.86 / $958.10	Facility		$522.79	$856.86	$958.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $643.71 / $643.71 / $747.64	Facility		$643.71	$643.71	$747.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $536.20 / $783.24 / $1,202.35	Professional		$536.20	$783.24	$1,202.35
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 $415.34 / $742.47 / $1,185.24	Professional		$415.34	$742.47	$1,185.24
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 $464.05 / $776.04 / $1,322.28	Professional		$464.05	$776.04	$1,322.28