Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.78 / $6,259.76 / $20,680.40	Facility		$988.78	$6,259.76	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.43 / $988.78 / $1,936.82	Professional		$737.43	$988.78	$1,936.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,056.84 / $38,581.23 / $73,843.74	Facility		$1,056.84	$38,581.23	$73,843.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,220.22 / $2,044.70 / $7,444.80	Professional		$1,220.22	$2,044.70	$7,444.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,058.42 / $12,058.42 / $20,089.18	Facility		$12,058.42	$12,058.42	$20,089.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,004.51 / $1,742.24 / $2,615.98	Professional		$1,004.51	$1,742.24	$2,615.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,053.57 / $1,914.00 / $41,914.33	Facility		$1,053.57	$1,914.00	$41,914.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,053.57 / $1,849.24 / $13,535.16	Professional		$1,053.57	$1,849.24	$13,535.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $988.35 / $1,839.96	Professional		$148.16	$988.35	$1,839.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,141.35 / $1,686.03 / $1,737.98	Facility		$1,141.35	$1,686.03	$1,737.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,056.84 / $1,185.46 / $8,325.40	Facility		$1,056.84	$1,185.46	$8,325.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,220.22 / $1,965.40 / $2,431.36	Professional		$1,220.22	$1,965.40	$2,431.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,168.22 / $38,581.23 / $73,843.74	Facility		$28,168.22	$38,581.23	$73,843.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,077.84 / $1,705.30 / $2,296.98	Professional		$1,077.84	$1,705.30	$2,296.98
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 $1,049.84 / $1,856.37 / $2,493.90	Professional		$1,049.84	$1,856.37	$2,493.90