Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $844.98 / $11,281.58 / $21,485.80	Facility		$844.98	$11,281.58	$21,485.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.86 / $1,997.30 / $12,537.10	Professional		$476.86	$1,997.30	$12,537.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $877.31 / $877.31 / $877.31	Professional		$877.31	$877.31	$877.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,475.90 / $42,647.08 / $95,056.24	Facility		$9,475.90	$42,647.08	$95,056.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $799.17 / $12,653.39 / $50,934.72	Professional		$799.17	$12,653.39	$50,934.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28,094.14 / $28,094.14 / $28,094.14	Facility		$28,094.14	$28,094.14	$28,094.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $736.97 / $1,495.36 / $21,295.71	Professional		$736.97	$1,495.36	$21,295.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $754.28 / $10,258.49 / $21,204.26	Facility		$754.28	$10,258.49	$21,204.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $739.35 / $8,897.12 / $20,757.36	Professional		$739.35	$8,897.12	$20,757.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,745.57 / $10,627.80 / $17,740.47	Professional		$1,745.57	$10,627.80	$17,740.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $941.35 / $13,181.18 / $15,183.72	Facility		$941.35	$13,181.18	$15,183.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,475.90 / $9,475.90 / $10,115.04	Facility		$9,475.90	$9,475.90	$10,115.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $795.38 / $1,538.87 / $17,369.71	Professional		$795.38	$1,538.87	$17,369.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25,736.56 / $46,708.63 / $95,056.24	Facility		$25,736.56	$46,708.63	$95,056.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $766.91 / $1,420.68 / $16,061.25	Professional		$766.91	$1,420.68	$16,061.25
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 $9,538.33 / $15,160.39 / $21,136.05	Professional		$9,538.33	$15,160.39	$21,136.05