Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.51 / $10,700.00 / $22,024.00	Facility		$788.51	$10,700.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $653.00 / $773.91 / $883.20	Professional		$653.00	$773.91	$883.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,151.91 / $14,811.42 / $28,332.57	Facility		$3,151.91	$14,811.42	$28,332.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,039.50 / $1,889.55 / $6,966.53	Professional		$1,039.50	$1,889.55	$6,966.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $9,232.95	Facility		$734.00	$734.00	$9,232.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,255.08 / $1,255.08 / $1,255.08	Professional		$1,255.08	$1,255.08	$1,255.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $3,999.59 / $4,770.12 / $11,834.91	Facility		$3,999.59	$4,770.12	$11,834.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,970.98 / $4,710.28 / $9,462.29	Professional		$3,970.98	$4,710.28	$9,462.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $743.89 / $4,906.28 / $6,558.61	Facility		$743.89	$4,906.28	$6,558.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,019.25 / $1,019.25 / $2,679.14	Facility		$1,019.25	$1,019.25	$2,679.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.83 / $1,786.19 / $2,173.84	Professional		$1,122.83	$1,786.19	$2,173.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,604.54 / $14,482.75 / $28,332.57	Facility		$9,604.54	$14,482.75	$28,332.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,039.50 / $1,501.88 / $2,113.69	Professional		$1,039.50	$1,501.88	$2,113.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,263.00 / $2,912.00 / $16,315.00	Facility		$2,263.00	$2,912.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $938.87 / $1,240.58 / $2,193.16	Professional		$938.87	$1,240.58	$2,193.16