Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.40 / $12,757.68 / $27,982.24	Facility		$368.40	$12,757.68	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.36 / $368.40 / $568.22	Professional		$223.36	$368.40	$568.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $44,697.91 / $66,798.75 / $127,778.49	Facility		$44,697.91	$66,798.75	$127,778.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $505.90 / $875.51 / $3,231.15	Professional		$505.90	$875.51	$3,231.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49,927.00 / $49,927.00 / $49,927.00	Facility		$49,927.00	$49,927.00	$49,927.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23,550.85 / $43,784.32 / $110,857.90	Facility		$23,550.85	$43,784.32	$110,857.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,132.43 / $31,563.09 / $60,067.94	Professional		$1,132.43	$31,563.09	$60,067.94
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 $671.76 / $27,183.30 / $39,313.22	Facility		$671.76	$27,183.30	$39,313.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $476.10 / $476.10 / $505.90	Facility		$476.10	$476.10	$505.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.73 / $841.56 / $1,007.23	Professional		$520.73	$841.56	$1,007.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50,662.76 / $66,798.75 / $127,778.49	Facility		$50,662.76	$66,798.75	$127,778.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $485.56 / $727.74 / $980.25	Professional		$485.56	$727.74	$980.25
United Facility/Professional Facility Modifier Low / Median / High Price $7,425.00 / $34,178.00 / $57,498.00	Facility		$7,425.00	$34,178.00	$57,498.00
United Facility/Professional Professional Modifier Low / Median / High Price $462.44 / $651.62 / $1,067.83	Professional		$462.44	$651.62	$1,067.83