Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.19 / $421.97 / $14,464.32	Facility		$218.19	$421.97	$14,464.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $351.00 / $351.00 / $351.00	Facility	50	$351.00	$351.00	$351.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.78 / $159.22 / $359.95	Professional		$103.78	$159.22	$359.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $87.47 / $241.86 / $1,159.50	Professional	50	$87.47	$241.86	$1,159.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $104.18 / $824.76 / $1,579.18	Facility		$104.18	$824.76	$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 $187.74 / $316.58 / $1,141.28	Professional		$187.74	$316.58	$1,141.28
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $219.87 / $352.13 / $618.00	Professional	50	$219.87	$352.13	$618.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $215.28 / $215.28 / $215.28	Facility		$215.28	$215.28	$215.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.32 / $222.00 / $442.74	Professional		$135.32	$222.00	$442.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $108.96 / $186.66 / $367.20	Facility		$108.96	$186.66	$367.20
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 $109.83 / $200.20 / $367.20	Professional		$109.83	$200.20	$367.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $176.10 / $318.69	Professional		$32.10	$176.10	$318.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $202.04 / $279.39 / $292.79	Facility		$202.04	$279.39	$292.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.18 / $196.60 / $199.25	Facility		$104.18	$196.60	$199.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.75 / $273.89 / $379.36	Professional		$190.75	$273.89	$379.36
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 $157.54 / $257.74 / $361.31	Professional		$157.54	$257.74	$361.31
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 $170.50 / $222.61 / $415.81	Professional		$170.50	$222.61	$415.81