Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,007.36 / $5,116.62 / $18,800.00	Facility		$1,007.36	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.99 / $761.95 / $1,415.84	Professional		$440.99	$761.95	$1,415.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,308.60 / $9,124.02 / $23,606.56	Facility		$5,308.60	$9,124.02	$23,606.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $762.52 / $1,342.11 / $4,677.53	Professional		$762.52	$1,342.11	$4,677.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,982.56 / $1,982.56 / $3,302.92	Facility		$1,982.56	$1,982.56	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.96 / $1,133.53 / $1,655.95	Professional		$669.96	$1,133.53	$1,655.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $682.08 / $1,169.82 / $6,447.65	Facility		$682.08	$1,169.82	$6,447.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $704.77 / $1,121.83 / $2,225.36	Professional		$704.77	$1,121.83	$2,225.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.61 / $629.78 / $1,228.91	Professional		$97.61	$629.78	$1,228.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $760.97 / $1,013.29 / $1,091.40	Facility		$760.97	$1,013.29	$1,091.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $727.07 / $740.80 / $1,140.42	Facility		$727.07	$740.80	$1,140.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $780.85 / $1,235.69 / $1,519.36	Professional		$780.85	$1,235.69	$1,519.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $741.51 / $1,065.64 / $1,435.40	Professional		$741.51	$1,065.64	$1,435.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $4,818.00 / $10,522.00	Facility		$1,550.00	$4,818.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $635.03 / $1,058.01 / $1,561.23	Professional		$635.03	$1,058.01	$1,561.23