Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,516.12 / $12,757.68 / $27,982.24	Facility		$1,516.12	$12,757.68	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,271.49 / $1,663.75 / $2,327.04	Professional		$1,271.49	$1,663.75	$2,327.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,385.46 / $3,076.28 / $23,788.45	Facility		$2,385.46	$3,076.28	$23,788.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,291.59 / $4,393.00 / $16,730.63	Professional		$2,291.59	$4,393.00	$16,730.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $1,925.00 / $1,925.00	Facility		$1,925.00	$1,925.00	$1,925.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,014.41 / $3,014.41 / $3,014.41	Professional		$3,014.41	$3,014.41	$3,014.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $617,280.02 / $617,280.02 / $1,120,879.58	Facility		$617,280.02	$617,280.02	$1,120,879.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,865.05 / $5,865.05 / $5,865.05	Professional		$5,865.05	$5,865.05	$5,865.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,891.89 / $2,984.37 / $7,189.38	Facility		$1,891.89	$2,984.37	$7,189.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,745.86 / $1,745.86 / $2,619.98	Facility		$1,745.86	$1,745.86	$2,619.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,619.98 / $4,243.54 / $5,200.39	Professional		$2,619.98	$4,243.54	$5,200.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,461.80 / $2,871.19 / $6,731.37	Facility		$2,461.80	$2,871.19	$6,731.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,275.35 / $3,267.24 / $4,816.22	Professional		$2,275.35	$3,267.24	$4,816.22
United Facility/Professional Facility Modifier Low / Median / High Price $14,793.00 / $21,750.00 / $57,498.00	Facility		$14,793.00	$21,750.00	$57,498.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,323.01 / $2,935.67 / $5,445.39	Professional		$2,323.01	$2,935.67	$5,445.39