Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,769.52 / $18,711.00	Facility		$521.00	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.31 / $477.28 / $908.68	Professional		$363.31	$477.28	$908.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $509.63 / $15,573.20 / $29,789.77	Facility		$509.63	$15,573.20	$29,789.77
Asuris Northwest Health Facility/Professional Facility Modifier 50 Low / Median / High Price $16,018.07 / $23,359.80 / $45,192.02	Facility	50	$16,018.07	$23,359.80	$45,192.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $523.78 / $885.37 / $3,267.98	Professional		$523.78	$885.37	$3,267.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,444.11 / $9,444.11 / $9,444.11	Facility		$9,444.11	$9,444.11	$9,444.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $509.01 / $753.53 / $1,119.70	Professional		$509.01	$753.53	$1,119.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $942.61 / $8,282.18	Facility		$537.03	$942.61	$8,282.18
Kaiser Permanente Facility/Professional Facility Modifier 50 Low / Median / High Price $2,869.19 / $19,774.45 / $35,907.16	Facility	50	$2,869.19	$19,774.45	$35,907.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $849.48 / $5,970.42	Professional		$537.03	$849.48	$5,970.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.63 / $569.90 / $935.94	Professional		$92.63	$569.90	$935.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $563.29 / $721.31 / $783.90	Facility		$563.29	$721.31	$783.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $509.63 / $509.63 / $515.50	Facility		$509.63	$509.63	$515.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.78 / $855.25 / $1,023.63	Professional		$542.78	$855.25	$1,023.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,098.52 / $15,564.30 / $29,789.77	Facility		$10,098.52	$15,564.30	$29,789.77
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $15,147.78 / $23,346.45 / $44,684.66	Facility	50	$15,147.78	$23,346.45	$44,684.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $519.75 / $741.55 / $998.84	Professional		$519.75	$741.55	$998.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $20,708.00	Facility		$3,028.00	$11,540.00	$20,708.00
United Facility/Professional Professional Modifier Low / Median / High Price $493.69 / $751.75 / $1,085.22	Professional		$493.69	$751.75	$1,085.22