Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $763.07 / $8,984.35 / $31,514.15	Facility		$763.07	$8,984.35	$31,514.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.15 / $3,822.02 / $8,935.52	Professional		$427.15	$3,822.02	$8,935.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,199.66 / $29,304.00 / $59,636.26	Facility		$6,199.66	$29,304.00	$59,636.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $717.76 / $8,225.07 / $33,340.00	Professional		$717.76	$8,225.07	$33,340.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,287.52 / $15,287.52 / $15,287.52	Facility		$15,287.52	$15,287.52	$15,287.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $663.16 / $1,352.38 / $13,918.57	Professional		$663.16	$1,352.38	$13,918.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $697.05 / $7,182.97 / $13,406.64	Facility		$697.05	$7,182.97	$13,406.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $684.36 / $5,746.37 / $12,416.51	Professional		$684.36	$5,746.37	$12,416.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,132.28 / $6,894.90 / $11,491.51	Professional		$1,132.28	$6,894.90	$11,491.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $866.31 / $8,552.78 / $9,925.45	Facility		$866.31	$8,552.78	$9,925.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,199.66 / $6,199.66 / $6,616.07	Facility		$6,199.66	$6,199.66	$6,616.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $714.35 / $1,382.09 / $11,364.24	Professional		$714.35	$1,382.09	$11,364.24
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 $687.94 / $1,275.94 / $10,520.00	Professional		$687.94	$1,275.94	$10,520.00
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 $5,915.67 / $8,849.74 / $13,668.53	Professional		$5,915.67	$8,849.74	$13,668.53