Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $585.28 / $10,700.00 / $22,024.00	Facility		$585.28	$10,700.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.97 / $532.67 / $642.27	Professional		$354.97	$532.67	$642.27
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 $614.17 / $848.59 / $3,505.14	Professional		$614.17	$848.59	$3,505.14
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 $1,036.40 / $2,925.68 / $5,567.86	Professional		$1,036.40	$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 $556.48 / $2,771.57 / $3,705.41	Facility		$556.48	$2,771.57	$3,705.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.94 / $462.94 / $756.51	Facility		$462.94	$462.94	$756.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $604.66 / $918.89 / $1,324.81	Professional		$604.66	$918.89	$1,324.81
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 $545.50 / $701.00 / $897.01	Professional		$545.50	$701.00	$897.01
United Facility/Professional Facility Modifier Low / Median / High Price $7,198.00 / $13,016.24 / $21,214.86	Facility		$7,198.00	$13,016.24	$21,214.86
United Facility/Professional Professional Modifier Low / Median / High Price $662.81 / $885.09 / $1,484.64	Professional		$662.81	$885.09	$1,484.64