Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,560.00 / $12,757.68 / $27,982.24	Facility		$1,560.00	$12,757.68	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.35 / $618.95 / $701.92	Professional		$375.35	$618.95	$701.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $31,164.16 / $49,692.55 / $96,135.53	Facility		$31,164.16	$49,692.55	$96,135.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $831.20 / $1,401.76 / $5,156.47	Professional		$831.20	$1,401.76	$5,156.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,132.00 / $17,691.00 / $36,898.00	Facility		$17,132.00	$17,691.00	$36,898.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $836.18 / $836.18 / $836.18	Professional		$836.18	$836.18	$836.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16,402.31 / $58,633.60 / $146,985.60	Facility		$16,402.31	$58,633.60	$146,985.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,807.78 / $1,807.78 / $1,807.78	Professional		$1,807.78	$1,807.78	$1,807.78
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 $969.73 / $13,966.05 / $20,750.74	Facility		$969.73	$13,966.05	$20,750.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $800.45 / $807.52 / $9,680.66	Facility		$800.45	$807.52	$9,680.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $844.63 / $1,346.98 / $1,656.21	Professional		$844.63	$1,346.98	$1,656.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37,957.33 / $49,692.55 / $95,056.24	Facility		$37,957.33	$49,692.55	$95,056.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $816.35 / $1,161.61 / $1,564.68	Professional		$816.35	$1,161.61	$1,564.68
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $8,600.00 / $26,100.00	Facility		$3,340.00	$8,600.00	$26,100.00
United Facility/Professional Professional Modifier Low / Median / High Price $771.74 / $1,218.54 / $1,721.84	Professional		$771.74	$1,218.54	$1,721.84