Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.46 / $10,122.46 / $27,982.24	Facility		$172.46	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $172.46 / $189.30	Professional		$84.00	$172.46	$189.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,890.69 / $13,114.70 / $25,086.94	Facility		$7,890.69	$13,114.70	$25,086.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $227.77 / $390.26 / $1,439.03	Professional		$227.77	$390.26	$1,439.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,576.11 / $3,576.11 / $5,957.76	Facility		$3,576.11	$3,576.11	$5,957.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.30 / $233.30 / $233.30	Professional		$233.30	$233.30	$233.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,766.41 / $5,449.58 / $19,606.08	Facility		$3,766.41	$5,449.58	$19,606.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $504.24 / $4,014.06 / $7,167.87	Professional		$504.24	$4,014.06	$7,167.87
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 $230.48 / $2,929.77 / $4,527.52	Facility		$230.48	$2,929.77	$4,527.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.33 / $225.30 / $2,153.38	Facility		$223.33	$225.30	$2,153.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.91 / $375.12 / $462.09	Professional		$231.91	$375.12	$462.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,504.29 / $13,107.20 / $25,086.94	Facility		$8,504.29	$13,107.20	$25,086.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $227.77 / $324.10 / $436.55	Professional		$227.77	$324.10	$436.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.21 / $296.36 / $475.98	Professional		$189.21	$296.36	$475.98