Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $853.35 / $3,925.18 / $18,711.00	Facility		$853.35	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.67 / $680.93 / $1,170.25	Professional		$356.67	$680.93	$1,170.25
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 $663.89 / $1,201.83 / $4,157.93	Professional		$663.89	$1,201.83	$4,157.93
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 $547.49 / $989.58 / $1,488.99	Professional		$547.49	$989.58	$1,488.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $574.97 / $942.87 / $6,447.65	Facility		$574.97	$942.87	$6,447.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.77 / $908.72 / $4,655.70	Professional		$575.77	$908.72	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $175.76 / $1,033.87	Professional		$37.39	$175.76	$1,033.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $601.75 / $838.84 / $964.80	Facility		$601.75	$838.84	$964.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $650.96 / $658.08 / $2,513.62	Facility		$650.96	$658.08	$2,513.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.38 / $1,101.78 / $1,349.71	Professional		$677.38	$1,101.78	$1,349.71
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 $663.89 / $946.66 / $1,275.11	Professional		$663.89	$946.66	$1,275.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $4,818.00 / $11,261.00	Facility		$1,550.00	$4,818.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $561.79 / $1,020.99 / $1,398.05	Professional		$561.79	$1,020.99	$1,398.05