Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.45 / $1,497.29 / $18,711.00	Facility		$715.45	$1,497.29	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.29 / $590.29 / $1,272.29	Professional		$397.29	$590.29	$1,272.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,720.46 / $16,595.73 / $31,745.76	Facility		$2,720.46	$16,595.73	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $700.88 / $1,100.51 / $3,936.22	Professional		$700.88	$1,100.51	$3,936.22
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 $628.03 / $996.11 / $1,568.17	Professional		$628.03	$996.11	$1,568.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $560.79 / $1,049.22 / $5,194.27	Facility		$560.79	$1,049.22	$5,194.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $580.76 / $988.00 / $1,632.18	Professional		$580.76	$988.00	$1,632.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.43 / $601.23 / $1,215.79	Professional		$95.43	$601.23	$1,215.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $678.17 / $1,034.45 / $1,165.52	Facility		$678.17	$1,034.45	$1,165.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $696.26 / $710.64 / $2,513.62	Facility		$696.26	$710.64	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $664.35 / $934.71 / $1,387.70	Professional		$664.35	$934.71	$1,387.70
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 $674.84 / $897.63 / $1,207.46	Professional		$674.84	$897.63	$1,207.46
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 $709.80 / $1,117.39 / $1,602.68	Professional		$709.80	$1,117.39	$1,602.68