Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.60 / $1,724.19 / $20,680.40	Facility		$813.60	$1,724.19	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $560.74 / $813.60 / $1,568.00	Professional		$560.74	$813.60	$1,568.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $773.24 / $9,032.98 / $17,279.07	Facility		$773.24	$9,032.98	$17,279.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $884.73 / $1,505.29 / $4,981.80	Professional		$884.73	$1,505.29	$4,981.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,769.50 / $4,769.50 / $4,769.50	Facility		$4,769.50	$4,769.50	$4,769.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $765.89 / $1,163.16 / $1,669.87	Professional		$765.89	$1,163.16	$1,669.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $850.41 / $1,425.01 / $8,977.36	Facility		$850.41	$1,425.01	$8,977.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $850.41 / $1,355.64 / $3,015.21	Professional		$850.41	$1,355.64	$3,015.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.39 / $718.48 / $1,257.94	Professional		$67.39	$718.48	$1,257.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $903.75 / $1,091.55 / $1,302.20	Facility		$903.75	$1,091.55	$1,302.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $773.24 / $773.24 / $867.50	Facility		$773.24	$773.24	$867.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $890.18 / $1,356.05 / $1,585.91	Professional		$890.18	$1,356.05	$1,585.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,899.78 / $9,027.82 / $17,279.07	Facility		$6,899.78	$9,027.82	$17,279.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $884.73 / $1,127.72 / $1,519.75	Professional		$884.73	$1,127.72	$1,519.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,594.00 / $12,835.00	Facility		$2,155.00	$6,594.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $780.44 / $1,051.04 / $1,832.49	Professional		$780.44	$1,051.04	$1,832.49