Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $940.08 / $3,925.18 / $18,711.00	Facility		$940.08	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.39 / $735.16 / $1,273.41	Professional		$456.39	$735.16	$1,273.41
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 $720.72 / $1,235.90 / $6,832.27	Professional		$720.72	$1,235.90	$6,832.27
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 $584.91 / $1,102.13 / $1,613.14	Professional		$584.91	$1,102.13	$1,613.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $629.52 / $1,071.35 / $11,234.92	Facility		$629.52	$1,071.35	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $655.63 / $1,003.44 / $4,655.70	Professional		$655.63	$1,003.44	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $590.87 / $1,178.77	Professional		$94.37	$590.87	$1,178.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $669.38 / $923.93 / $1,047.88	Facility		$669.38	$923.93	$1,047.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $706.68 / $714.75 / $2,513.62	Facility		$706.68	$714.75	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $735.71 / $1,193.84 / $1,465.94	Professional		$735.71	$1,193.84	$1,465.94
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 $720.72 / $1,028.18 / $1,384.92	Professional		$720.72	$1,028.18	$1,384.92
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 $609.74 / $953.57 / $1,514.87	Professional		$609.74	$953.57	$1,514.87