Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $971.14 / $10,122.46 / $27,982.24	Facility		$971.14	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.11 / $971.14 / $7,943.92	Professional		$852.11	$971.14	$7,943.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $10,939.38 / $19,913.50 / $38,781.51	Facility		$10,939.38	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,280.20 / $2,142.05 / $8,156.93	Professional		$1,280.20	$2,142.05	$8,156.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $4,667.34 / $6,403.45 / $26,311.49	Facility		$4,667.34	$6,403.45	$26,311.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,607.82 / $6,240.53 / $8,678.54	Professional		$3,607.82	$6,240.53	$8,678.54
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 $1,145.20 / $4,116.47 / $6,472.85	Facility		$1,145.20	$4,116.47	$6,472.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,255.26 / $1,277.32 / $6,526.97	Facility		$1,255.26	$1,277.32	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,396.10 / $2,031.97 / $2,535.34	Professional		$1,396.10	$2,031.97	$2,535.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,280.20 / $1,774.27 / $2,440.96	Professional		$1,280.20	$1,774.27	$2,440.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,163.82 / $1,607.17 / $2,698.58	Professional		$1,163.82	$1,607.17	$2,698.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,099.39 / $1,099.39 / $1,099.39	Professional		$1,099.39	$1,099.39	$1,099.39