Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,285.11 / $6,470.00 / $24,827.00	Facility		$1,285.11	$6,470.00	$24,827.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.53 / $969.03 / $1,664.73	Professional		$506.53	$969.03	$1,664.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,866.94 / $16,595.73 / $31,745.76	Facility		$9,866.94	$16,595.73	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $945.25 / $1,617.94 / $6,691.93	Professional		$945.25	$1,617.94	$6,691.93
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 $753.43 / $1,408.93 / $2,119.96	Professional		$753.43	$1,408.93	$2,119.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $815.86 / $1,337.54 / $11,234.92	Facility		$815.86	$1,337.54	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $823.02 / $1,292.04 / $4,655.70	Professional		$823.02	$1,292.04	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $264.79 / $1,465.71	Professional		$74.23	$264.79	$1,465.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $857.57 / $1,194.60 / $1,368.14	Facility		$857.57	$1,194.60	$1,368.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $926.84 / $933.19 / $2,513.62	Facility		$926.84	$933.19	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $960.56 / $1,562.89 / $1,913.97	Professional		$960.56	$1,562.89	$1,913.97
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 $945.25 / $1,342.41 / $1,808.19	Professional		$945.25	$1,342.41	$1,808.19
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 $768.49 / $1,277.51 / $1,983.13	Professional		$768.49	$1,277.51	$1,983.13