Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $998.23 / $5,116.62 / $20,680.40	Facility		$998.23	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.85 / $728.08 / $1,424.95	Professional		$465.85	$728.08	$1,424.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,296.15 / $19,395.98 / $37,102.31	Facility		$11,296.15	$19,395.98	$37,102.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $766.75 / $1,261.61 / $4,976.00	Professional		$766.75	$1,261.61	$4,976.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,448.94 / $3,448.94 / $5,745.89	Facility		$3,448.94	$3,448.94	$5,745.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $673.26 / $1,123.26 / $1,639.43	Professional		$673.26	$1,123.26	$1,639.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $676.20 / $1,230.20 / $7,779.83	Facility		$676.20	$1,230.20	$7,779.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $700.90 / $1,174.56 / $3,871.31	Professional		$700.90	$1,174.56	$3,871.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.38 / $861.07 / $1,411.85	Professional		$135.38	$861.07	$1,411.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $814.38 / $1,056.18 / $1,092.76	Facility		$814.38	$1,056.18	$1,092.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $727.97 / $744.91 / $2,096.73	Facility		$727.97	$744.91	$2,096.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $784.23 / $1,242.55 / $1,527.80	Professional		$784.23	$1,242.55	$1,527.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,577.42 / $19,384.89 / $37,102.31	Facility		$12,577.42	$19,384.89	$37,102.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $742.43 / $1,071.56 / $1,443.37	Professional		$742.43	$1,071.56	$1,443.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $690.81 / $1,099.01 / $1,567.98	Professional		$690.81	$1,099.01	$1,567.98