Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.13 / $10,122.46 / $27,982.24	Facility		$712.13	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.42 / $712.13 / $781.47	Professional		$388.42	$712.13	$781.47
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 $407.11 / $599.73 / $2,470.02	Professional		$407.11	$599.73	$2,470.02
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 $357.75 / $357.75 / $357.75	Professional		$357.75	$357.75	$357.75
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 $773.47 / $4,014.06 / $7,167.87	Professional		$773.47	$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 $458.79 / $3,452.94 / $4,583.39	Facility		$458.79	$3,452.94	$4,583.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $345.49 / $920.04 / $2,153.38	Facility		$345.49	$920.04	$2,153.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.93 / $585.14 / $719.71	Professional		$368.93	$585.14	$719.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,922.66 / $13,107.20 / $25,086.94	Facility		$8,922.66	$13,107.20	$25,086.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $430.92 / $523.15 / $776.03	Professional		$430.92	$523.15	$776.03
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 $533.05 / $919.31 / $1,771.49	Professional		$533.05	$919.31	$1,771.49