Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.15 / $10,700.00 / $22,024.00	Facility		$234.15	$10,700.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.94 / $234.15 / $397.65	Professional		$141.94	$234.15	$397.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,674.32 / $11,082.10 / $21,287.95	Facility		$6,674.32	$11,082.10	$21,287.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $318.79 / $560.86 / $2,258.78	Professional		$318.79	$560.86	$2,258.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,627.88 / $4,627.88 / $4,627.88	Facility		$4,627.88	$4,627.88	$4,627.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,925.68 / $4,058.50 / $15,792.93	Facility		$2,925.68	$4,058.50	$15,792.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $791.86 / $2,925.68 / $5,567.86	Professional		$791.86	$2,925.68	$5,567.86
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 $242.49 / $2,871.94 / $3,705.41	Facility		$242.49	$2,871.94	$3,705.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.06 / $303.06 / $353.72	Facility		$303.06	$303.06	$353.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.72 / $548.07 / $702.10	Professional		$353.72	$548.07	$702.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,246.24 / $10,881.75 / $21,287.95	Facility		$7,246.24	$10,881.75	$21,287.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $309.08 / $496.60 / $685.38	Professional		$309.08	$496.60	$685.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,594.00 / $12,835.00	Facility		$2,155.00	$6,594.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $293.92 / $400.80 / $671.64	Professional		$293.92	$400.80	$671.64