Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.94 / $1,574.56 / $18,711.00	Facility		$789.94	$1,574.56	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.28 / $661.26 / $1,370.66	Professional		$434.28	$661.26	$1,370.66
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 $754.40 / $1,285.65 / $4,878.83	Professional		$754.40	$1,285.65	$4,878.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.00 / $906.00 / $2,430.19	Facility		$906.00	$906.00	$2,430.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.40 / $831.04 / $1,756.12	Professional		$496.40	$831.04	$1,756.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $564.38 / $1,022.45 / $1,835.17	Facility		$564.38	$1,022.45	$1,835.17
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 $573.40 / $1,022.45 / $1,582.08	Professional		$573.40	$1,022.45	$1,582.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.04 / $312.37 / $1,147.26	Professional		$76.04	$312.37	$1,147.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $798.70 / $1,118.65 / $1,221.41	Facility		$798.70	$1,118.65	$1,221.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $819.48 / $819.48 / $833.11	Facility		$819.48	$819.48	$833.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.88 / $1,071.16 / $1,574.66	Professional		$699.88	$1,071.16	$1,574.66
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 $573.34 / $993.14 / $1,503.61	Professional		$573.34	$993.14	$1,503.61
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 $700.13 / $909.49 / $1,698.85	Professional		$700.13	$909.49	$1,698.85