Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.07 / $10,626.41 / $37,432.04	Facility		$559.07	$10,626.41	$37,432.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.06 / $1,647.53 / $7,707.90	Professional		$283.06	$1,647.53	$7,707.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,690.11 / $29,304.00 / $59,636.26	Facility		$5,690.11	$29,304.00	$59,636.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $515.04 / $7,651.14 / $30,583.60	Professional		$515.04	$7,651.14	$30,583.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,412.55 / $17,412.55 / $17,412.55	Facility		$17,412.55	$17,412.55	$17,412.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.47 / $990.93 / $12,984.59	Professional		$489.47	$990.93	$12,984.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $486.46 / $8,520.89 / $15,228.90	Facility		$486.46	$8,520.89	$15,228.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $486.46 / $6,816.71 / $14,510.86	Professional		$486.46	$6,816.71	$14,510.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,026.86 / $6,268.70 / $10,447.83	Professional		$1,026.86	$6,268.70	$10,447.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $591.64 / $7,834.68 / $10,572.60	Facility		$591.64	$7,834.68	$10,572.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,690.11 / $5,690.11 / $6,101.00	Facility		$5,690.11	$5,690.11	$6,101.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.15 / $1,021.84 / $10,430.20	Professional		$528.15	$1,021.84	$10,430.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,748.67 / $31,176.05 / $59,636.26	Facility		$22,748.67	$31,176.05	$59,636.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $493.80 / $943.35 / $9,637.07	Professional		$493.80	$943.35	$9,637.07
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $13,441.00 / $26,100.00	Facility		$3,340.00	$13,441.00	$26,100.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,292.19 / $9,072.48 / $13,364.40	Professional		$6,292.19	$9,072.48	$13,364.40