Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.41 / $7,256.76 / $24,258.74	Facility		$981.41	$7,256.76	$24,258.74
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $362.97 / $496.66 / $802.80	Facility	52	$362.97	$496.66	$802.80
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $145.19 / $198.67 / $321.12	Facility	53	$145.19	$198.67	$321.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.37 / $725.93 / $2,233.17	Professional		$530.37	$725.93	$2,233.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $19,483.30 / $31,176.05 / $59,636.26	Facility		$19,483.30	$31,176.05	$59,636.26
Asuris Northwest Health Facility/Professional Facility Modifier 52 Low / Median / High Price $18,085.50 / $30,081.88 / $30,081.88	Facility	52	$18,085.50	$30,081.88	$30,081.88
Asuris Northwest Health Facility/Professional Facility Modifier 53 Low / Median / High Price $4,521.38 / $7,520.47 / $7,520.47	Facility	53	$4,521.38	$7,520.47	$7,520.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $799.66 / $1,351.69 / $5,031.00	Professional		$799.66	$1,351.69	$5,031.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,566.50 / $17,691.00 / $36,898.00	Facility		$16,566.50	$17,691.00	$36,898.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $779.73 / $1,168.16 / $1,703.45	Professional		$779.73	$1,168.16	$1,703.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $795.75 / $1,407.57 / $22,303.11	Facility		$795.75	$1,407.57	$22,303.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $795.75 / $1,264.08 / $8,117.91	Professional		$795.75	$1,264.08	$8,117.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $142.79 / $876.57 / $1,430.67	Professional		$142.79	$876.57	$1,430.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $843.03 / $1,090.90 / $1,175.04	Facility		$843.03	$1,090.90	$1,175.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $782.78 / $782.78 / $785.58	Facility		$782.78	$782.78	$785.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $828.66 / $1,305.70 / $1,562.76	Professional		$828.66	$1,305.70	$1,562.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20,216.27 / $31,176.05 / $59,636.26	Facility		$20,216.27	$31,176.05	$59,636.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $798.34 / $1,130.07 / $1,522.17	Professional		$798.34	$1,130.07	$1,522.17
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $22,177.00	Facility		$3,028.00	$11,540.00	$22,177.00
United Facility/Professional Professional Modifier Low / Median / High Price $754.17 / $1,030.08 / $1,671.16	Professional		$754.17	$1,030.08	$1,671.16