Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.00 / $5,128.00 / $18,800.00	Facility		$801.00	$5,128.00	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.24 / $575.63 / $1,275.61	Professional		$446.24	$575.63	$1,275.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $606.11 / $24,075.80 / $46,054.28	Facility		$606.11	$24,075.80	$46,054.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $621.64 / $1,050.79 / $3,930.75	Professional		$621.64	$1,050.79	$3,930.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,768.09 / $17,768.09 / $17,768.09	Facility		$17,768.09	$17,768.09	$17,768.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.63 / $896.27 / $1,339.57	Professional		$602.63	$896.27	$1,339.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $608.09 / $1,087.33 / $23,890.49	Facility		$608.09	$1,087.33	$23,890.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $608.09 / $1,005.60 / $11,232.73	Professional		$608.09	$1,005.60	$11,232.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.39 / $589.61 / $1,047.24	Professional		$67.39	$589.61	$1,047.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $694.29 / $858.02 / $960.11	Facility		$694.29	$858.02	$960.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.11 / $606.11 / $613.75	Facility		$606.11	$606.11	$613.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $644.19 / $1,015.04 / $1,218.24	Professional		$644.19	$1,015.04	$1,218.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17,567.73 / $24,075.80 / $46,054.28	Facility		$17,567.73	$24,075.80	$46,054.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $618.16 / $882.89 / $1,189.23	Professional		$618.16	$882.89	$1,189.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $13,441.00 / $74,860.00	Facility		$3,340.00	$13,441.00	$74,860.00
United Facility/Professional Professional Modifier Low / Median / High Price $579.48 / $832.31 / $1,287.99	Professional		$579.48	$832.31	$1,287.99