Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.05 / $10,596.56 / $22,024.00	Facility		$973.05	$10,596.56	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $654.88 / $961.91 / $1,394.34	Professional		$654.88	$961.91	$1,394.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $995.24 / $36,378.16 / $69,587.31	Facility		$995.24	$36,378.16	$69,587.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.80 / $1,739.15 / $6,460.80	Professional		$1,011.80	$1,739.15	$6,460.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,528.15 / $15,528.15 / $25,869.72	Facility		$15,528.15	$15,528.15	$25,869.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,191.65 / $1,789.55 / $2,240.92	Professional		$1,191.65	$1,789.55	$2,240.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $665.88 / $1,643.86 / $36,002.42	Facility		$665.88	$1,643.86	$36,002.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $665.88 / $1,557.30 / $17,429.82	Professional		$665.88	$1,557.30	$17,429.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $248.30 / $623.44 / $680.88	Facility		$248.30	$623.44	$680.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $995.24 / $1,011.80 / $10,476.32	Facility		$995.24	$1,011.80	$10,476.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,050.17 / $1,687.73 / $2,075.17	Professional		$1,050.17	$1,687.73	$2,075.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,098.55 / $36,378.16 / $69,587.31	Facility		$27,098.55	$36,378.16	$69,587.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,011.78 / $1,454.63 / $1,960.50	Professional		$1,011.78	$1,454.63	$1,960.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $8,600.00 / $26,100.00	Facility		$3,340.00	$8,600.00	$26,100.00
United Facility/Professional Professional Modifier Low / Median / High Price $919.80 / $1,511.08 / $2,168.09	Professional		$919.80	$1,511.08	$2,168.09