Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.21 / $10,122.46 / $22,024.00	Facility		$908.21	$10,122.46	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.10 / $2,673.21 / $9,501.58	Professional		$477.10	$2,673.21	$9,501.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,242.08 / $46,708.63 / $95,056.24	Facility		$7,242.08	$46,708.63	$95,056.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $858.08 / $9,737.98 / $38,949.60	Professional		$858.08	$9,737.98	$38,949.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27,909.93 / $27,909.93 / $27,909.93	Facility		$27,909.93	$27,909.93	$27,909.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.28 / $1,610.28 / $16,333.47	Professional		$680.28	$1,610.28	$16,333.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $808.78 / $10,337.85 / $18,804.41	Facility		$808.78	$10,337.85	$18,804.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $793.33 / $8,270.28 / $18,214.11	Professional		$793.33	$8,270.28	$18,214.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,320.52 / $8,037.31 / $13,403.73	Professional		$1,320.52	$8,037.31	$13,403.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $995.62 / $9,992.28 / $12,820.45	Facility		$995.62	$9,992.28	$12,820.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,242.08 / $7,242.08 / $7,715.04	Facility		$7,242.08	$7,242.08	$7,715.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $854.00 / $1,652.28 / $13,275.03	Professional		$854.00	$1,652.28	$13,275.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36,259.87 / $49,692.55 / $95,056.24	Facility		$36,259.87	$49,692.55	$95,056.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $800.75 / $1,525.38 / $12,265.58	Professional		$800.75	$1,525.38	$12,265.58
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $25,743.00 / $37,152.00	Facility		$4,252.00	$25,743.00	$37,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $7,811.39 / $11,262.95 / $16,593.18	Professional		$7,811.39	$11,262.95	$16,593.18