Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.74 / $514.01 / $17,930.00	Facility		$226.74	$514.01	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.59 / $190.80 / $461.66	Professional		$112.59	$190.80	$461.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $286.20 / $308.61 / $1,503.00	Professional	50	$286.20	$308.61	$1,503.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $410.50 / $715.15 / $9,102.00	Facility		$410.50	$715.15	$9,102.00
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $764.72 / $1,038.32 / $2,008.73	Facility	50	$764.72	$1,038.32	$2,008.73
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $212.02 / $390.07 / $1,422.08	Professional		$212.02	$390.07	$1,422.08
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $169.38 / $318.02 / $357.00	Professional	50	$169.38	$318.02	$357.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.48 / $176.48 / $294.02	Facility		$176.48	$176.48	$294.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.68 / $339.01 / $585.29	Professional		$199.68	$339.01	$585.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $168.07 / $275.91 / $506.66	Facility		$168.07	$275.91	$506.66
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $673.47 / $892.36 / $1,620.37	Facility	50	$673.47	$892.36	$1,620.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.12 / $285.20 / $470.43	Professional		$173.12	$285.20	$470.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.01 / $245.78 / $422.23	Professional		$39.01	$245.78	$422.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $197.79 / $355.77 / $386.59	Facility		$197.79	$355.77	$386.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.64 / $259.12 / $263.69	Facility		$112.64	$259.12	$263.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.47 / $313.20 / $483.35	Professional		$218.47	$313.20	$483.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $505.09 / $676.85 / $1,324.12	Facility		$505.09	$676.85	$1,324.12
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $757.64 / $1,015.28 / $1,986.18	Facility	50	$757.64	$1,015.28	$1,986.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.94 / $295.14 / $446.60	Professional		$194.94	$295.14	$446.60
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $233.65 / $378.19 / $558.05	Professional		$233.65	$378.19	$558.05