Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $927.70 / $1,652.97 / $13,809.00	Facility		$927.70	$1,652.97	$13,809.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,977.00 / $12,976.70 / $12,976.70	Facility	50	$7,977.00	$12,976.70	$12,976.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.26 / $721.99 / $1,450.90	Professional		$463.26	$721.99	$1,450.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,507.60 / $9,124.02 / $17,453.22	Facility		$3,507.60	$9,124.02	$17,453.22
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 $864.43 / $1,436.54 / $5,714.48	Professional		$864.43	$1,436.54	$5,714.48
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 $749.19 / $1,287.27 / $2,266.30	Professional		$749.19	$1,287.27	$2,266.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $663.71 / $1,177.55 / $2,793.98	Facility		$663.71	$1,177.55	$2,793.98
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $6,447.65 / $8,266.54 / $19,889.25	Facility	50	$6,447.65	$8,266.54	$19,889.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $674.59 / $1,174.11 / $2,088.06	Professional		$674.59	$1,174.11	$2,088.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.91 / $268.52 / $1,627.82	Professional		$38.91	$268.52	$1,627.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $827.07 / $1,319.90 / $1,500.13	Facility		$827.07	$1,319.90	$1,500.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,013.36 / $1,023.22 / $1,140.42	Facility		$1,013.36	$1,023.22	$1,140.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $879.48 / $1,278.81 / $1,875.61	Professional		$879.48	$1,278.81	$1,875.61
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 $803.44 / $1,162.42 / $1,732.99	Professional		$803.44	$1,162.42	$1,732.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $866.49 / $1,371.71 / $2,136.54	Professional		$866.49	$1,371.71	$2,136.54