Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.89 / $556.50 / $18,711.00	Facility		$229.89	$556.50	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.44 / $296.11 / $593.70	Professional		$158.44	$296.11	$593.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $474.95 / $474.95 / $474.95	Professional	50	$474.95	$474.95	$474.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,545.37 / $4,321.81 / $11,500.00	Facility		$1,545.37	$4,321.81	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $215.39 / $420.38 / $6,427.75	Professional		$215.39	$420.38	$6,427.75
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $177.83 / $556.50 / $1,632.63	Professional	50	$177.83	$556.50	$1,632.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.72 / $203.72 / $339.40	Facility		$203.72	$203.72	$339.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.12 / $348.39 / $696.51	Professional		$201.12	$348.39	$696.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $171.12 / $304.70 / $1,627.98	Facility		$171.12	$304.70	$1,627.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.00 / $300.83 / $595.96	Professional		$177.00	$300.83	$595.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.83 / $332.68 / $546.52	Professional		$51.83	$332.68	$546.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $246.16 / $405.35 / $595.00	Facility		$246.16	$405.35	$595.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.88 / $309.39 / $313.95	Facility		$159.88	$309.39	$313.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.64 / $337.87 / $575.50	Professional		$222.64	$337.87	$575.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,153.55 / $4,319.34 / $8,267.12	Facility		$3,153.55	$4,319.34	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $199.78 / $315.55 / $531.74	Professional		$199.78	$315.55	$531.74
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $266.20 / $496.55 / $764.99	Professional		$266.20	$496.55	$764.99