Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,560.00 / $12,757.68 / $27,982.24	Facility		$1,560.00	$12,757.68	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.13 / $918.90 / $1,047.03	Professional		$576.13	$918.90	$1,047.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $53,671.36 / $93,232.35 / $178,342.95	Facility		$53,671.36	$93,232.35	$178,342.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,143.45 / $1,949.56 / $7,226.25	Professional		$1,143.45	$1,949.56	$7,226.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50,000.00 / $50,000.00 / $50,000.00	Facility		$50,000.00	$50,000.00	$50,000.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23,550.85 / $53,977.60 / $151,175.74	Facility		$23,550.85	$53,977.60	$151,175.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,532.96 / $38,911.19 / $74,052.14	Professional		$2,532.96	$38,911.19	$74,052.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $906.67 / $31,221.92 / $50,221.90	Facility		$906.67	$31,221.92	$50,221.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,131.53 / $1,131.53 / $1,187.31	Facility		$1,131.53	$1,131.53	$1,187.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,195.18 / $1,883.23 / $2,253.98	Professional		$1,195.18	$1,883.23	$2,253.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63,827.35 / $93,179.06 / $178,342.95	Facility		$63,827.35	$93,179.06	$178,342.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,143.45 / $1,627.72 / $2,192.50	Professional		$1,143.45	$1,627.72	$2,192.50
United Facility/Professional Facility Modifier Low / Median / High Price $7,425.00 / $49,837.00 / $71,362.00	Facility		$7,425.00	$49,837.00	$71,362.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,153.68 / $1,598.68 / $2,761.37	Professional		$1,153.68	$1,598.68	$2,761.37