Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.82 / $11,029.52 / $27,982.24	Facility		$622.82	$11,029.52	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.68 / $622.82 / $683.48	Professional		$377.68	$622.82	$683.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $20,176.29 / $30,261.00 / $66,923.59	Facility		$20,176.29	$30,261.00	$66,923.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $648.65 / $1,022.61 / $3,782.63	Professional		$648.65	$1,022.61	$3,782.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33,861.75 / $33,861.75 / $33,861.75	Facility		$33,861.75	$33,861.75	$33,861.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10,619.32 / $29,695.64 / $49,781.99	Facility		$10,619.32	$29,695.64	$49,781.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,325.81 / $21,406.89 / $40,739.58	Professional		$1,325.81	$21,406.89	$40,739.58
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 $380.47 / $9,909.43 / $14,428.45	Facility		$380.47	$9,909.43	$14,428.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $592.27 / $592.27 / $804.53	Facility		$592.27	$592.27	$804.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $625.84 / $986.13 / $1,180.27	Professional		$625.84	$986.13	$1,180.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,823.25 / $30,261.00 / $57,885.88	Facility		$22,823.25	$30,261.00	$57,885.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $648.65 / $851.99 / $1,147.60	Professional		$648.65	$851.99	$1,147.60
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $13,441.00 / $26,100.00	Facility		$3,340.00	$13,441.00	$26,100.00
United Facility/Professional Professional Modifier Low / Median / High Price $712.80 / $941.81 / $1,517.91	Professional		$712.80	$941.81	$1,517.91