Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.36 / $6,294.87 / $29,108.28	Facility		$664.36	$6,294.87	$29,108.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.63 / $664.36 / $1,449.02	Professional		$485.63	$664.36	$1,449.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $16,026.00 / $30,261.00 / $57,885.88	Facility		$16,026.00	$30,261.00	$57,885.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $717.36 / $1,215.33 / $7,286.89	Professional		$717.36	$1,215.33	$7,286.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18,213.99 / $18,213.99 / $18,213.99	Facility		$18,213.99	$18,213.99	$18,213.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $646.51 / $1,030.59 / $1,521.64	Professional		$646.51	$1,030.59	$1,521.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $694.18 / $1,188.55 / $34,618.46	Facility		$694.18	$1,188.55	$34,618.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $694.18 / $1,147.18 / $11,514.61	Professional		$694.18	$1,147.18	$11,514.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.39 / $689.01 / $1,208.18	Professional		$67.39	$689.01	$1,208.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $771.34 / $974.85 / $1,071.20	Facility		$771.34	$974.85	$1,071.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $696.26 / $696.26 / $696.93	Facility		$696.26	$696.26	$696.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $726.15 / $1,165.70 / $1,395.19	Professional		$726.15	$1,165.70	$1,395.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,114.67 / $30,261.00 / $57,885.88	Facility		$23,114.67	$30,261.00	$57,885.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $710.09 / $1,002.54 / $1,350.39	Professional		$710.09	$1,002.54	$1,350.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $16,613.00 / $26,417.00	Facility		$3,960.00	$16,613.00	$26,417.00
United Facility/Professional Professional Modifier Low / Median / High Price $650.60 / $1,004.89 / $1,479.14	Professional		$650.60	$1,004.89	$1,479.14