Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.96 / $12,619.36 / $25,612.66	Facility		$1,375.96	$12,619.36	$25,612.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,207.06 / $1,375.96 / $1,510.00	Professional		$1,207.06	$1,375.96	$1,510.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $17,698.66 / $36,606.86 / $70,860.36	Facility		$17,698.66	$36,606.86	$70,860.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,818.25 / $3,107.82 / $12,128.55	Professional		$1,818.25	$3,107.82	$12,128.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $44,948.87 / $46,833.03 / $112,680.05	Facility		$44,948.87	$46,833.03	$112,680.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,251.79 / $4,251.79 / $4,251.79	Professional		$4,251.79	$4,251.79	$4,251.79
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 $1,670.71 / $2,165.56 / $2,784.52	Facility		$1,670.71	$2,165.56	$2,784.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.03 / $1,778.03 / $1,899.29	Facility		$1,778.03	$1,778.03	$1,899.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,017.18 / $2,942.86 / $3,769.91	Professional		$2,017.18	$2,942.86	$3,769.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,977.90 / $36,627.79 / $70,064.83	Facility		$27,977.90	$36,627.79	$70,064.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,813.35 / $2,568.21 / $3,458.41	Professional		$1,813.35	$2,568.21	$3,458.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,853.00 / $5,643.00 / $19,271.00	Facility		$2,853.00	$5,643.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,648.92 / $2,277.08 / $3,790.55	Professional		$1,648.92	$2,277.08	$3,790.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,576.09 / $1,576.09 / $1,576.09	Professional		$1,576.09	$1,576.09	$1,576.09