Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.63 / $7,984.74 / $29,607.12	Facility		$141.63	$7,984.74	$29,607.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $446.00 / $9,781.40	Professional		$84.81	$446.00	$9,781.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $211.25 / $22,630.10 / $46,054.28	Facility		$211.25	$22,630.10	$46,054.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $148.40 / $7,640.69 / $30,520.08	Professional		$148.40	$7,640.69	$30,520.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,646.39 / $16,646.39 / $16,646.39	Facility		$16,646.39	$16,646.39	$16,646.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.55 / $6,143.12 / $12,873.55	Professional		$136.55	$6,143.12	$12,873.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $147.19 / $8,045.29 / $14,724.37	Facility		$147.19	$8,045.29	$14,724.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.52 / $6,724.09 / $13,946.16	Professional		$139.52	$6,724.09	$13,946.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,027.61 / $6,269.29 / $10,446.08	Professional		$1,027.61	$6,269.29	$10,446.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $174.18 / $7,762.94 / $9,985.01	Facility		$174.18	$7,762.94	$9,985.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,682.34 / $5,682.34 / $6,211.54	Facility		$5,682.34	$5,682.34	$6,211.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.69 / $285.76 / $10,415.95	Professional		$147.69	$285.76	$10,415.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,567.73 / $24,075.80 / $46,054.28	Facility		$17,567.73	$24,075.80	$46,054.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $139.47 / $263.81 / $9,655.00	Professional		$139.47	$263.81	$9,655.00
United Facility/Professional Facility Modifier Low / Median / High Price $18,734.00 / $29,599.70 / $48,243.83	Facility		$18,734.00	$29,599.70	$48,243.83
United Facility/Professional Professional Modifier Low / Median / High Price $6,290.25 / $9,198.04 / $12,709.13	Professional		$6,290.25	$9,198.04	$12,709.13