Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.32 / $180.35 / $17,930.00	Facility		$94.32	$180.35	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.97 / $106.42 / $192.06	Professional		$52.97	$106.42	$192.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $118.37 / $207.36 / $342.05	Professional	50	$118.37	$207.36	$342.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $103.74 / $533.28 / $1,085.27	Facility		$103.74	$533.28	$1,085.27
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $645.80 / $851.03 / $1,646.39	Facility	50	$645.80	$851.03	$1,646.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $93.37 / $163.31 / $656.02	Professional		$93.37	$163.31	$656.02
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $73.01 / $149.82 / $204.83	Professional	50	$73.01	$149.82	$204.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.12 / $142.88 / $241.36	Professional		$83.12	$142.88	$241.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $78.43 / $137.66 / $299.54	Facility		$78.43	$137.66	$299.54
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $228.86 / $582.32 / $1,401.05	Facility	50	$228.86	$582.32	$1,401.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $130.34 / $249.68	Professional		$77.45	$130.34	$249.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $110.69 / $180.72	Professional		$17.11	$110.69	$180.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $99.16 / $155.02 / $256.11	Facility		$99.16	$155.02	$256.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.74 / $103.74 / $107.85	Facility		$103.74	$103.74	$107.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.92 / $135.63 / $203.32	Professional		$91.92	$135.63	$203.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $367.90 / $567.35 / $1,085.27	Facility		$367.90	$567.35	$1,085.27
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $551.85 / $851.03 / $1,627.91	Facility	50	$551.85	$851.03	$1,627.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $82.39 / $123.00 / $183.25	Professional		$82.39	$123.00	$183.25
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $910.00 / $5,793.00	Facility		$190.00	$910.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.77 / $174.24 / $226.88	Professional		$99.77	$174.24	$226.88