Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,253.69 / $5,116.62 / $20,680.40	Facility		$1,253.69	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.51 / $987.79 / $1,711.38	Professional		$527.51	$987.79	$1,711.38
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 $968.35 / $1,629.10 / $6,630.84	Professional		$968.35	$1,629.10	$6,630.84
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 $777.78 / $1,449.40 / $2,167.37	Professional		$777.78	$1,449.40	$2,167.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $838.07 / $1,398.45 / $11,234.92	Facility		$838.07	$1,398.45	$11,234.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $856.74 / $1,334.22 / $4,655.70	Professional		$856.74	$1,334.22	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $266.69 / $1,492.21	Professional		$75.97	$266.69	$1,492.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $895.92 / $1,262.01 / $1,405.66	Facility		$895.92	$1,262.01	$1,405.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.49 / $958.79 / $2,513.62	Facility		$949.49	$958.79	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $986.90 / $1,603.22 / $1,966.46	Professional		$986.90	$1,603.22	$1,966.46
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 $968.35 / $1,379.23 / $1,857.78	Professional		$968.35	$1,379.23	$1,857.78
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 $836.00 / $1,485.64 / $2,034.30	Professional		$836.00	$1,485.64	$2,034.30