Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.38 / $13,901.05 / $40,570.61	Facility		$1,002.38	$13,901.05	$40,570.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.47 / $3,238.79 / $15,055.18	Professional		$568.47	$3,238.79	$15,055.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,483.04 / $29,304.00 / $59,636.26	Facility		$11,483.04	$29,304.00	$59,636.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $938.92 / $15,375.21 / $61,794.72	Professional		$938.92	$15,375.21	$61,794.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,467.55 / $15,467.55 / $15,467.55	Facility		$15,467.55	$15,467.55	$15,467.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.81 / $1,777.95 / $25,912.96	Professional		$872.81	$1,777.95	$25,912.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $889.44 / $10,258.49 / $26,509.66	Facility		$889.44	$10,258.49	$26,509.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $873.78 / $9,720.04 / $24,707.74	Professional		$873.78	$9,720.04	$24,707.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,110.16 / $12,878.64 / $21,464.40	Professional		$2,110.16	$12,878.64	$21,464.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,110.85 / $15,996.61 / $18,429.02	Facility		$1,110.85	$15,996.61	$18,429.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,483.04 / $11,483.04 / $12,202.01	Facility		$11,483.04	$11,483.04	$12,202.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $934.46 / $1,807.95 / $21,048.89	Professional		$934.46	$1,807.95	$21,048.89
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 $913.72 / $1,669.09 / $19,507.16	Professional		$913.72	$1,669.09	$19,507.16
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 $12,020.09 / $16,414.81 / $26,263.71	Professional		$12,020.09	$16,414.81	$26,263.71