Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.01 / $12,757.68 / $27,982.24	Facility		$410.01	$12,757.68	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.71 / $410.01 / $570.30	Professional		$248.71	$410.01	$570.30
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 $540.08 / $926.96 / $3,414.53	Professional		$540.08	$926.96	$3,414.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44,562.81 / $44,562.81 / $44,562.81	Facility		$44,562.81	$44,562.81	$44,562.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23,550.85 / $39,080.10 / $110,857.90	Facility		$23,550.85	$39,080.10	$110,857.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,196.99 / $28,171.94 / $53,614.20	Professional		$1,196.99	$28,171.94	$53,614.20
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 $643.50 / $23,828.78 / $33,709.36	Facility		$643.50	$23,828.78	$33,709.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $529.55 / $529.55 / $534.69	Facility		$529.55	$529.55	$534.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $550.37 / $891.01 / $1,066.43	Professional		$550.37	$891.01	$1,066.43
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 $540.08 / $729.71 / $982.91	Professional		$540.08	$729.71	$982.91
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 $491.40 / $702.00 / $1,130.59	Professional		$491.40	$702.00	$1,130.59