Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.01 / $12,626.00 / $23,856.49	Facility		$832.01	$12,626.00	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $504.62 / $757.24 / $913.00	Professional		$504.62	$757.24	$913.00
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 $663.27 / $981.13 / $3,691.83	Professional		$663.27	$981.13	$3,691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44,703.20 / $44,703.20 / $44,703.20	Facility		$44,703.20	$44,703.20	$44,703.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $23,550.85 / $82,902.05 / $207,822.94	Facility		$23,550.85	$82,902.05	$207,822.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,207.18 / $1,207.18 / $1,207.18	Professional		$1,207.18	$1,207.18	$1,207.18
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 $607.52 / $26,861.04 / $37,760.48	Facility		$607.52	$26,861.04	$37,760.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $539.26 / $539.26 / $1,075.42	Facility		$539.26	$539.26	$1,075.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $678.15 / $1,043.82 / $1,166.94	Professional		$678.15	$1,043.82	$1,166.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51,023.81 / $66,798.75 / $127,778.49	Facility		$51,023.81	$66,798.75	$127,778.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $635.42 / $784.82 / $995.21	Professional		$635.42	$784.82	$995.21
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 $852.31 / $1,197.10 / $2,069.66	Professional		$852.31	$1,197.10	$2,069.66