Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.10 / $1,759.74 / $17,967.00	Facility		$1,000.10	$1,759.74	$17,967.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.35 / $795.67 / $1,672.53	Professional		$500.35	$795.67	$1,672.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,334.76 / $10,802.03 / $26,542.00	Facility		$4,334.76	$10,802.03	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,005.66 / $1,669.75 / $5,582.48	Professional		$1,005.66	$1,669.75	$5,582.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,186.71 / $2,186.71 / $3,643.05	Facility		$2,186.71	$2,186.71	$3,643.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.14 / $1,436.75 / $2,280.31	Professional		$895.14	$1,436.75	$2,280.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $755.00 / $1,363.14 / $3,225.00	Facility		$755.00	$1,363.14	$3,225.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $762.50 / $1,361.46 / $2,176.33	Professional		$762.50	$1,361.46	$2,176.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $349.07 / $1,579.33	Professional		$81.90	$349.07	$1,579.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $959.90 / $1,335.31 / $1,524.92	Facility		$959.90	$1,335.31	$1,524.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,016.99 / $1,040.13 / $1,239.50	Facility		$1,016.99	$1,040.13	$1,239.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,005.23 / $1,461.92 / $1,979.32	Professional		$1,005.23	$1,461.92	$1,979.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,156.89 / $10,795.86 / $20,663.07	Facility		$7,156.89	$10,795.86	$20,663.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $989.54 / $1,332.90 / $1,847.90	Professional		$989.54	$1,332.90	$1,847.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $930.15 / $1,601.29 / $2,192.66	Professional		$930.15	$1,601.29	$2,192.66