Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.25 / $3,210.98 / $17,930.00	Facility		$495.25	$3,210.98	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.93 / $1,160.27 / $2,264.32	Professional		$337.93	$1,160.27	$2,264.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,885.08 / $9,032.98 / $23,371.01	Facility		$1,885.08	$9,032.98	$23,371.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $493.97 / $1,842.44 / $11,087.72	Professional		$493.97	$1,842.44	$11,087.72
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $776.61 / $1,341.00 / $4,765.50	Professional	50	$776.61	$1,341.00	$4,765.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,763.00 / $3,763.00 / $3,763.00	Facility		$3,763.00	$3,763.00	$3,763.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.48 / $875.90 / $2,951.29	Professional		$432.48	$875.90	$2,951.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $1,843.95 / $3,463.59	Facility		$460.00	$1,843.95	$3,463.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.00 / $1,466.30 / $3,300.02	Professional		$436.00	$1,466.30	$3,300.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $241.51 / $1,469.52 / $2,450.84	Professional		$241.51	$1,469.52	$2,450.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $606.00 / $1,940.32 / $2,533.27	Facility		$606.00	$1,940.32	$2,533.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,323.47 / $1,323.47 / $1,378.93	Facility		$1,323.47	$1,323.47	$1,378.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $486.47 / $906.20 / $2,425.98	Professional		$486.47	$906.20	$2,425.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,857.48 / $9,027.82 / $17,279.07	Facility		$5,857.48	$9,027.82	$17,279.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $836.60 / $2,241.50	Professional		$416.87	$836.60	$2,241.50
United Facility/Professional Facility Modifier Low / Median / High Price $2,428.00 / $2,854.00 / $11,941.00	Facility		$2,428.00	$2,854.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,270.92 / $1,928.23 / $2,904.96	Professional		$1,270.92	$1,928.23	$2,904.96