Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.72 / $282.95 / $14,464.32	Facility		$160.72	$282.95	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.11 / $109.46 / $193.12	Professional		$81.11	$109.46	$193.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $71.90 / $773.81 / $1,579.18	Facility		$71.90	$773.81	$1,579.18
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $962.58 / $1,238.33 / $2,395.67	Facility	50	$962.58	$1,238.33	$2,395.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $140.44 / $245.88 / $920.25	Professional		$140.44	$245.88	$920.25
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $128.21 / $289.76 / $453.00	Professional	50	$128.21	$289.76	$453.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.82 / $157.82 / $479.00	Facility		$157.82	$157.82	$479.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.88 / $172.62 / $333.19	Professional		$101.88	$172.62	$333.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $80.51 / $142.00 / $267.16	Facility		$80.51	$142.00	$267.16
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $720.25 / $792.33 / $2,456.67	Facility	50	$720.25	$792.33	$2,456.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.02 / $146.00 / $263.05	Professional		$81.02	$146.00	$263.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $152.09 / $264.27	Professional		$27.16	$152.09	$264.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $139.54 / $193.81 / $210.38	Facility		$139.54	$193.81	$210.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.90 / $137.71 / $143.50	Facility		$71.90	$137.71	$143.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.50 / $224.51 / $281.19	Professional		$143.50	$224.51	$281.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $602.39 / $825.55 / $1,579.18	Facility		$602.39	$825.55	$1,579.18
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $903.59 / $1,238.33 / $2,368.77	Facility	50	$903.59	$1,238.33	$2,368.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $133.52 / $200.69 / $265.64	Professional		$133.52	$200.69	$265.64
United Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $414.00 / $5,793.00	Facility		$118.00	$414.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.49 / $154.76 / $288.57	Professional		$126.49	$154.76	$288.57