Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.41 / $7,394.00 / $17,930.00	Facility		$563.41	$7,394.00	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.97 / $557.85 / $1,125.63	Professional		$387.97	$557.85	$1,125.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $595.70 / $7,568.94 / $15,403.47	Facility		$595.70	$7,568.94	$15,403.47
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $388.48 / $646.16 / $646.16	Facility	AS	$388.48	$646.16	$646.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $627.98 / $1,048.08 / $3,915.90	Professional		$627.98	$1,048.08	$3,915.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,708.80 / $1,708.80 / $2,846.84	Facility		$1,708.80	$1,708.80	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.53 / $911.02 / $1,338.70	Professional		$542.53	$911.02	$1,338.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $548.52 / $989.94 / $6,008.05	Facility		$548.52	$989.94	$6,008.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $551.69 / $953.14 / $1,918.07	Professional		$551.69	$953.14	$1,918.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.55 / $448.54 / $953.52	Professional		$75.55	$448.54	$953.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $636.63 / $847.55 / $894.45	Facility		$636.63	$847.55	$894.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $595.70 / $610.10 / $1,048.55	Facility		$595.70	$610.10	$1,048.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.98 / $1,017.67 / $1,251.30	Professional		$627.98	$1,017.67	$1,251.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $607.53 / $877.63 / $1,182.14	Professional		$607.53	$877.63	$1,182.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $559.67 / $872.15 / $1,278.33	Professional		$559.67	$872.15	$1,278.33