Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $814.68 / $10,700.00 / $22,024.00	Facility		$814.68	$10,700.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.34 / $814.68 / $907.72	Professional		$722.34	$814.68	$907.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,801.11 / $11,522.14 / $22,290.81	Facility		$8,801.11	$11,522.14	$22,290.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,107.06 / $1,895.19 / $4,307.30	Professional		$1,107.06	$1,895.19	$4,307.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $734.00	Facility		$734.00	$734.00	$734.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $10,540.49 / $11,595.36 / $35,446.18	Facility		$10,540.49	$11,595.36	$35,446.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $765.54 / $1,691.66 / $3,182.06	Facility		$765.54	$1,691.66	$3,182.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.22 / $1,082.22 / $1,091.77	Facility		$1,082.22	$1,082.22	$1,091.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,134.78 / $1,817.79 / $2,175.66	Professional		$1,134.78	$1,817.79	$2,175.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,038.20 / $11,741.79 / $22,290.81	Facility		$9,038.20	$11,741.79	$22,290.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,188.53 / $1,698.19 / $2,801.37	Professional		$1,188.53	$1,698.19	$2,801.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,263.00 / $2,912.00 / $16,315.00	Facility		$2,263.00	$2,912.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,043.99 / $1,337.84 / $2,293.44	Professional		$1,043.99	$1,337.84	$2,293.44