Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.43 / $2,476.41 / $23,717.40	Facility		$933.43	$2,476.41	$23,717.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.73 / $821.98 / $2,171.41	Professional		$508.73	$821.98	$2,171.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,406.00 / $20,273.81 / $27,396.88	Facility		$2,406.00	$20,273.81	$27,396.88
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $132.77 / $233.88 / $233.88	Facility	AS	$132.77	$233.88	$233.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $860.13 / $1,595.59 / $6,209.44	Professional		$860.13	$1,595.59	$6,209.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $10,498.43	Facility		$714.97	$870.49	$10,498.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $633.10 / $1,215.54 / $2,354.52	Professional		$633.10	$1,215.54	$2,354.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $613.36 / $1,178.78 / $7,073.35	Facility		$613.36	$1,178.78	$7,073.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $613.36 / $1,178.78 / $4,554.74	Professional		$613.36	$1,178.78	$4,554.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $475.05 / $1,657.93	Professional		$116.13	$475.05	$1,657.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $956.09 / $1,423.92 / $1,680.36	Facility		$956.09	$1,423.92	$1,680.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,118.00 / $1,146.16 / $8,444.46	Facility		$1,118.00	$1,146.16	$8,444.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $838.91 / $1,288.38 / $2,068.75	Professional		$838.91	$1,288.38	$2,068.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $806.62 / $1,212.61 / $2,057.81	Professional		$806.62	$1,212.61	$2,057.81
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $11,941.00	Facility		$2,155.00	$3,297.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $923.78 / $1,365.10 / $2,406.69	Professional		$923.78	$1,365.10	$2,406.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $554.64 / $684.37 / $923.23	Professional		$554.64	$684.37	$923.23