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 / $978.68	Professional		$141.94	$234.15	$978.68
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 $323.06 / $1,394.68 / $5,556.53	Professional		$323.06	$1,394.68	$5,556.53
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 $1,947.87 / $2,925.68 / $5,567.86	Professional		$1,947.87	$2,925.68	$5,567.86
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 $330.70 / $2,834.63 / $3,902.50	Facility		$330.70	$2,834.63	$3,902.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.06 / $303.06 / $870.13	Facility		$303.06	$303.06	$870.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.72 / $870.13 / $1,727.12	Professional		$474.72	$870.13	$1,727.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,023.47 / $10,881.75 / $21,287.95	Facility		$8,023.47	$10,881.75	$21,287.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $309.08 / $1,251.69 / $1,685.99	Professional		$309.08	$1,251.69	$1,685.99
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 $291.92 / $447.56 / $1,809.75	Professional		$291.92	$447.56	$1,809.75