Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.16 / $6,623.55 / $20,680.40	Facility		$174.16	$6,623.55	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.16 / $191.12 / $744.80	Professional		$174.16	$191.12	$744.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,141.19 / $18,877.79 / $36,111.08	Facility		$11,141.19	$18,877.79	$36,111.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $243.54 / $453.31 / $1,810.05	Professional		$243.54	$453.31	$1,810.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,577.95 / $6,577.95 / $10,958.79	Facility		$6,577.95	$6,577.95	$10,958.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.39 / $293.39 / $293.39	Professional		$293.39	$293.39	$293.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $5,823.95 / $10,024.04 / $29,119.98	Facility		$5,823.95	$10,024.04	$29,119.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $634.16 / $7,383.53 / $13,184.69	Professional		$634.16	$7,383.53	$13,184.69
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 $230.74 / $6,167.67 / $8,899.11	Facility		$230.74	$6,167.67	$8,899.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $225.14 / $283.33 / $4,324.60	Facility		$225.14	$283.33	$4,324.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.33 / $420.63 / $567.75	Professional		$283.33	$420.63	$567.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,241.40 / $18,867.00 / $36,111.08	Facility		$12,241.40	$18,867.00	$36,111.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $229.61 / $453.33 / $626.92	Professional		$229.61	$453.33	$626.92
United Facility/Professional Facility Modifier Low / Median / High Price $3,478.00 / $5,702.39 / $16,315.00	Facility		$3,478.00	$5,702.39	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.65 / $408.49 / $740.50	Professional		$223.65	$408.49	$740.50