Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.43 / $10,122.46 / $27,982.24	Facility		$85.43	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.66 / $85.43 / $3,064.74	Professional		$47.66	$85.43	$3,064.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $106.00 / $11,276.10 / $11,276.10	Facility		$106.00	$11,276.10	$11,276.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $109.98 / $194.22 / $10,126.45	Professional		$109.98	$194.22	$10,126.45
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
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,797.06 / $2,797.06 / $2,797.06	Professional		$2,797.06	$2,797.06	$2,797.06
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 $1,051.23 / $1,438.25 / $1,752.05	Facility		$1,051.23	$1,438.25	$1,752.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.00 / $106.00 / $112.88	Facility		$106.00	$106.00	$112.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $178.05 / $224.05	Professional		$113.00	$178.05	$224.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $108.57 / $3,649.52 / $5,258.98	Professional		$108.57	$3,649.52	$5,258.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.40 / $152.75 / $232.65	Professional		$103.40	$152.75	$232.65