Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.59 / $1,725.03 / $18,711.00	Facility		$859.59	$1,725.03	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.69 / $775.52 / $1,505.62	Professional		$456.69	$775.52	$1,505.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,253.62 / $16,595.73 / $31,745.76	Facility		$3,253.62	$16,595.73	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $836.31 / $1,298.75 / $4,551.12	Professional		$836.31	$1,298.75	$4,551.12
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 $735.69 / $1,143.61 / $1,845.87	Professional		$735.69	$1,143.61	$1,845.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $622.79 / $1,165.22 / $5,194.27	Facility		$622.79	$1,165.22	$5,194.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $681.42 / $1,108.15 / $1,935.48	Professional		$681.42	$1,108.15	$1,935.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $264.79 / $1,359.41	Professional		$74.23	$264.79	$1,359.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $778.67 / $1,193.27 / $1,249.55	Facility		$778.67	$1,193.27	$1,249.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $826.73 / $836.31 / $2,513.62	Facility		$826.73	$836.31	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $795.38 / $1,100.01 / $1,540.02	Professional		$795.38	$1,100.01	$1,540.02
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 $798.72 / $1,068.30 / $1,421.00	Professional		$798.72	$1,068.30	$1,421.00
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 $783.65 / $1,290.33 / $1,766.88	Professional		$783.65	$1,290.33	$1,766.88