Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.10 / $3,236.52 / $17,930.00	Facility		$192.10	$3,236.52	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.43 / $1,382.79 / $2,400.10	Professional		$142.43	$1,382.79	$2,400.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $367.70 / $4,857.60 / $9,885.68	Facility		$367.70	$4,857.60	$9,885.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $243.63 / $2,469.02 / $9,900.71	Professional		$243.63	$2,469.02	$9,900.71
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $383.72 / $3,641.04 / $4,659.00	Professional	50	$383.72	$3,641.04	$4,659.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,323.83 / $2,323.83 / $2,323.83	Facility		$2,323.83	$2,323.83	$2,323.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.02 / $1,978.87 / $4,198.72	Professional		$236.02	$1,978.87	$4,198.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $250.12 / $1,749.26 / $4,755.00	Facility		$250.12	$1,749.26	$4,755.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.07 / $1,565.69 / $4,218.95	Professional		$237.07	$1,565.69	$4,218.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $336.99 / $2,060.58 / $3,424.67	Professional		$336.99	$2,060.58	$3,424.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $298.14 / $2,525.15 / $3,192.55	Facility		$298.14	$2,525.15	$3,192.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,844.00 / $1,844.00 / $2,038.05	Facility		$1,844.00	$1,844.00	$2,038.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.74 / $494.80 / $3,381.84	Professional		$255.74	$494.80	$3,381.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,770.96 / $5,167.93 / $9,885.68	Facility		$3,770.96	$5,167.93	$9,885.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $221.39 / $456.79 / $3,133.18	Professional		$221.39	$456.79	$3,133.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,241.78 / $1,802.00 / $6,857.00	Facility		$1,241.78	$1,802.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,048.94 / $2,859.00 / $4,324.82	Professional		$2,048.94	$2,859.00	$4,324.82