Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.41 / $5,488.65 / $24,033.17	Facility		$423.41	$5,488.65	$24,033.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.33 / $2,427.48 / $4,910.52	Professional		$219.33	$2,427.48	$4,910.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,694.22 / $15,599.20 / $31,745.76	Facility		$1,694.22	$15,599.20	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $439.57 / $3,388.45 / $20,446.96	Professional		$439.57	$3,388.45	$20,446.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,005.40 / $6,005.40 / $10,004.93	Facility		$6,005.40	$6,005.40	$10,004.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.97 / $801.57 / $8,575.01	Professional		$389.97	$801.57	$8,575.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $377.14 / $4,930.99 / $9,637.50	Facility		$377.14	$4,930.99	$9,637.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $377.14 / $4,233.87 / $9,003.20	Professional		$377.14	$4,233.87	$9,003.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $674.69 / $4,315.89 / $6,746.41	Professional		$674.69	$4,315.89	$6,746.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $471.12 / $5,001.75 / $5,967.00	Facility		$471.12	$5,001.75	$5,967.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,751.64 / $3,802.70 / $3,975.08	Facility		$3,751.64	$3,802.70	$3,975.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.66 / $806.13 / $7,437.26	Professional		$416.66	$806.13	$7,437.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,109.64 / $16,595.73 / $31,745.76	Facility		$12,109.64	$16,595.73	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $389.34 / $3,445.94 / $6,451.82	Professional		$389.34	$3,445.94	$6,451.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,312.88 / $6,371.29 / $9,409.93	Professional		$4,312.88	$6,371.29	$9,409.93