Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.10 / $5,116.62 / $18,800.00	Facility		$285.10	$5,116.62	$18,800.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.85 / $2,260.94 / $2,260.94	Facility	50	$0.85	$2,260.94	$2,260.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.76 / $199.45 / $402.66	Professional		$127.76	$199.45	$402.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,308.60 / $9,124.02 / $23,606.56	Facility		$5,308.60	$9,124.02	$23,606.56
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $8,166.45 / $13,686.03 / $26,477.09	Facility	50	$8,166.45	$13,686.03	$26,477.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $215.91 / $378.86 / $1,321.88	Professional		$215.91	$378.86	$1,321.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,982.56 / $1,982.56 / $3,302.92	Facility		$1,982.56	$1,982.56	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.17 / $320.81 / $468.49	Professional		$187.17	$320.81	$468.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $193.20 / $332.92 / $4,358.93	Facility		$193.20	$332.92	$4,358.93
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $4,358.93 / $8,266.54 / $19,889.25	Facility	50	$4,358.93	$8,266.54	$19,889.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.79 / $310.80 / $2,225.36	Professional		$194.79	$310.80	$2,225.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $215.88 / $388.07	Professional		$34.22	$215.88	$388.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $210.70 / $282.72 / $307.52	Facility		$210.70	$282.72	$307.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.85 / $209.76 / $1,140.42	Facility		$203.85	$209.76	$1,140.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.53 / $348.49 / $430.22	Professional		$216.53	$348.49	$430.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $8,874.78 / $13,651.88 / $26,179.83	Facility	50	$8,874.78	$13,651.88	$26,179.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $207.90 / $301.75 / $406.44	Professional		$207.90	$301.75	$406.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,740.00 / $11,599.09 / $18,553.00	Facility		$3,740.00	$11,599.09	$18,553.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.24 / $330.81 / $442.19	Professional		$185.24	$330.81	$442.19