Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.21 / $449.78 / $14,464.32	Facility		$237.21	$449.78	$14,464.32
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,071.66 / $1,071.66 / $1,071.66	Facility	50	$1,071.66	$1,071.66	$1,071.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.74 / $212.93 / $360.49	Professional		$150.74	$212.93	$360.49
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $324.68 / $344.63 / $946.50	Professional	50	$324.68	$344.63	$946.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $220.27 / $846.81 / $2,135.94	Facility		$220.27	$846.81	$2,135.94
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 $216.29 / $345.61 / $1,466.09	Professional		$216.29	$345.61	$1,466.09
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $255.83 / $383.81 / $673.50	Professional	50	$255.83	$383.81	$673.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.24 / $379.24 / $479.00	Facility		$379.24	$379.24	$479.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.86 / $253.44 / $496.45	Professional		$150.86	$253.44	$496.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $168.34 / $281.24 / $485.10	Facility		$168.34	$281.24	$485.10
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 $175.24 / $286.39 / $447.37	Professional		$175.24	$286.39	$447.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $197.61 / $372.44	Professional		$38.00	$197.61	$372.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $228.11 / $314.23 / $446.05	Facility		$228.11	$314.23	$446.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.90 / $214.72 / $220.27	Facility		$143.90	$214.72	$220.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.15 / $299.07 / $413.42	Professional		$206.15	$299.07	$413.42
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 $170.02 / $295.27 / $410.01	Professional		$170.02	$295.27	$410.01
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 $198.44 / $296.00 / $445.69	Professional		$198.44	$296.00	$445.69