Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.83 / $536.79 / $14,464.32	Facility		$269.83	$536.79	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.15 / $217.29 / $394.03	Professional		$128.15	$217.29	$394.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $249.42 / $249.42 / $249.42	Professional	50	$249.42	$249.42	$249.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $143.47 / $825.07 / $1,579.18	Facility		$143.47	$825.07	$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 $250.91 / $446.53 / $1,856.41	Professional		$250.91	$446.53	$1,856.41
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $349.13 / $621.69 / $768.00	Professional	50	$349.13	$621.69	$768.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.32 / $346.32 / $346.32	Facility		$346.32	$346.32	$346.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.01 / $301.98 / $635.32	Professional		$170.01	$301.98	$635.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $165.50 / $256.81 / $509.80	Facility		$165.50	$256.81	$509.80
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 $171.71 / $275.00 / $509.80	Professional		$171.71	$275.00	$509.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.70 / $301.88 / $542.15	Professional		$55.70	$301.88	$542.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $256.06 / $380.56 / $439.52	Facility		$256.06	$380.56	$439.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.47 / $296.26 / $299.79	Facility		$143.47	$296.26	$299.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.64 / $366.37 / $566.92	Professional		$259.64	$366.37	$566.92
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 $193.58 / $321.82 / $537.41	Professional		$193.58	$321.82	$537.41
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 $239.19 / $327.78 / $599.86	Professional		$239.19	$327.78	$599.86