Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.48 / $5,116.62 / $18,711.00	Facility		$1,105.48	$5,116.62	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.70 / $661.80 / $1,300.00	Professional		$478.70	$661.80	$1,300.00
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 $819.75 / $1,368.01 / $5,166.30	Professional		$819.75	$1,368.01	$5,166.30
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $1,278.38 / $1,746.36 / $2,637.00	Professional	50	$1,278.38	$1,746.36	$2,637.00
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 $601.61 / $956.53 / $1,857.65	Professional		$601.61	$956.53	$1,857.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $732.93 / $1,204.91 / $2,131.19	Facility		$732.93	$1,204.91	$2,131.19
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 $732.93 / $1,204.91 / $1,855.31	Professional		$732.93	$1,204.91	$1,855.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $373.32 / $1,198.79	Professional		$78.68	$373.32	$1,198.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $838.39 / $1,147.71 / $1,206.00	Facility		$838.39	$1,147.71	$1,206.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $789.13 / $789.13 / $818.03	Facility		$789.13	$789.13	$818.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $842.02 / $1,346.03 / $1,623.71	Professional		$842.02	$1,346.03	$1,623.71
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 $804.80 / $1,176.75 / $1,531.89	Professional		$804.80	$1,176.75	$1,531.89
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 $705.84 / $938.85 / $1,638.72	Professional		$705.84	$938.85	$1,638.72