Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.90 / $834.21 / $17,100.00	Facility		$337.90	$834.21	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.21 / $274.73 / $569.74	Professional		$149.21	$274.73	$569.74
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 $324.54 / $661.83 / $2,466.08	Professional		$324.54	$661.83	$2,466.08
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $530.58 / $657.85 / $1,462.50	Professional	50	$530.58	$657.85	$1,462.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.00 / $642.00 / $2,430.19	Facility		$642.00	$642.00	$2,430.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.86 / $403.14 / $886.41	Professional		$214.86	$403.14	$886.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $229.44 / $455.55 / $1,802.15	Facility		$229.44	$455.55	$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 $231.01 / $455.73 / $1,255.54	Professional		$231.01	$455.73	$1,255.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.16 / $267.98 / $696.97	Professional		$37.16	$267.98	$696.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $349.74 / $588.26 / $665.31	Facility		$349.74	$588.26	$665.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $449.83 / $449.83 / $730.50	Facility		$449.83	$449.83	$730.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.89 / $471.68 / $834.26	Professional		$297.89	$471.68	$834.26
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 $244.40 / $458.77 / $825.02	Professional		$244.40	$458.77	$825.02
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 $379.00 / $485.50 / $906.23	Professional		$379.00	$485.50	$906.23