Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $930.45 / $1,788.34 / $18,711.00	Facility		$930.45	$1,788.34	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.15 / $804.27 / $1,563.34	Professional		$484.15	$804.27	$1,563.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,856.56 / $16,595.73 / $31,745.76	Facility		$4,856.56	$16,595.73	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $881.96 / $1,406.01 / $4,788.24	Professional		$881.96	$1,406.01	$4,788.24
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 $794.87 / $1,231.97 / $1,955.31	Professional		$794.87	$1,231.97	$1,955.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $659.99 / $1,234.82 / $5,194.27	Facility		$659.99	$1,234.82	$5,194.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $718.32 / $1,215.32 / $2,053.12	Professional		$718.32	$1,215.32	$2,053.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $265.51 / $1,465.42	Professional		$75.97	$265.51	$1,465.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.00 / $1,236.82 / $1,311.86	Facility		$870.00	$1,236.82	$1,311.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $864.78 / $883.38 / $2,513.62	Facility		$864.78	$883.38	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $865.73 / $1,218.27 / $1,685.30	Professional		$865.73	$1,218.27	$1,685.30
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 $878.12 / $1,175.82 / $1,573.40	Professional		$878.12	$1,175.82	$1,573.40
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 $812.24 / $1,256.25 / $1,853.75	Professional		$812.24	$1,256.25	$1,853.75