Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,934.59 / $10,122.46 / $27,982.24	Facility		$1,934.59	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $928.05 / $1,934.59 / $2,122.98	Professional		$928.05	$1,934.59	$2,122.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,298.80 / $8,859.76 / $16,947.71	Facility		$5,298.80	$8,859.76	$16,947.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $974.70 / $1,544.93 / $7,018.38	Professional		$974.70	$1,544.93	$7,018.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.68 / $809.68 / $809.68	Professional		$809.68	$809.68	$809.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,679.56 / $8,374.87 / $19,082.05	Facility		$2,679.56	$8,374.87	$19,082.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,750.31 / $1,750.31 / $1,750.31	Professional		$1,750.31	$1,750.31	$1,750.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $564.63 / $933.25 / $2,880.17	Facility		$564.63	$933.25	$2,880.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $781.93 / $781.93 / $2,500.11	Facility		$781.93	$781.93	$2,500.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,021.30 / $1,552.05 / $1,902.46	Professional		$1,021.30	$1,552.05	$1,902.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,767.47 / $8,859.76 / $16,947.71	Facility		$6,767.47	$8,859.76	$16,947.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $974.70 / $1,184.01 / $1,756.34	Professional		$974.70	$1,184.01	$1,756.34
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 $1,205.72 / $2,649.60 / $5,198.75	Professional		$1,205.72	$2,649.60	$5,198.75