Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,176.24 / $3,925.18 / $18,711.00	Facility		$1,176.24	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.87 / $925.10 / $1,612.93	Professional		$519.87	$925.10	$1,612.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,866.94 / $16,394.00 / $31,745.76	Facility		$9,866.94	$16,394.00	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $919.02 / $1,565.95 / $7,623.00	Professional		$919.02	$1,565.95	$7,623.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,147.74 / $4,147.74 / $6,910.09	Facility		$4,147.74	$4,147.74	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $732.72 / $1,388.21 / $2,037.26	Professional		$732.72	$1,388.21	$2,037.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $788.19 / $1,335.87 / $11,234.92	Facility		$788.19	$1,335.87	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $820.77 / $1,256.52 / $4,655.70	Professional		$820.77	$1,256.52	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $264.27 / $1,430.76	Professional		$75.97	$264.27	$1,430.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $832.86 / $1,163.11 / $1,327.27	Facility		$832.86	$1,163.11	$1,327.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $893.77 / $905.32 / $2,513.62	Facility		$893.77	$905.32	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $931.86 / $1,512.67 / $1,856.79	Professional		$931.86	$1,512.67	$1,856.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,586.25 / $31,745.76	Facility		$10,761.59	$16,586.25	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $911.53 / $1,302.31 / $1,754.18	Professional		$911.53	$1,302.31	$1,754.18
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 $790.24 / $1,196.46 / $1,919.42	Professional		$790.24	$1,196.46	$1,919.42