Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.55 / $216.01 / $18,711.00	Facility		$146.55	$216.01	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.26 / $120.02 / $206.40	Professional		$88.26	$120.02	$206.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $11.56 / $165.51 / $861.51	Professional	50	$11.56	$165.51	$861.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $128.19 / $1,061.33 / $2,159.90	Facility		$128.19	$1,061.33	$2,159.90
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $323.37 / $323.37 / $323.37	Facility	50	$323.37	$323.37	$323.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $129.13 / $207.24 / $1,055.57	Professional		$129.13	$207.24	$1,055.57
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $149.31 / $238.13 / $421.50	Professional	50	$149.31	$238.13	$421.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.01 / $150.99 / $293.91	Professional		$90.01	$150.99	$293.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $108.04 / $166.42 / $284.67	Facility		$108.04	$166.42	$284.67
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $1,027.33 / $1,130.14 / $2,412.03	Facility	50	$1,027.33	$1,130.14	$2,412.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.11 / $166.50 / $259.16	Professional		$111.11	$166.50	$259.16
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 $121.13 / $176.63 / $232.70	Facility		$121.13	$176.63	$232.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.86 / $128.19 / $132.07	Facility		$42.86	$128.19	$132.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.44 / $184.44 / $242.47	Professional		$126.44	$184.44	$242.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $732.19 / $1,128.49 / $2,159.90	Facility		$732.19	$1,128.49	$2,159.90
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $256.68 / $256.68 / $323.37	Facility	50	$256.68	$256.68	$323.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $104.87 / $180.30 / $244.89	Professional		$104.87	$180.30	$244.89
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 $117.00 / $157.30 / $260.75	Professional		$117.00	$157.30	$260.75