Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.13 / $2,484.36 / $17,100.00	Facility		$583.13	$2,484.36	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.77 / $806.78 / $1,978.03	Professional		$305.77	$806.78	$1,978.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,070.58 / $15,573.20 / $29,789.77	Facility		$2,070.58	$15,573.20	$29,789.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $516.55 / $2,089.03 / $8,338.48	Professional		$516.55	$2,089.03	$8,338.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,128.48 / $7,128.48 / $7,128.48	Facility		$7,128.48	$7,128.48	$7,128.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.13 / $1,051.17 / $3,472.21	Professional		$449.13	$1,051.17	$3,472.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $495.95 / $1,418.55 / $4,870.25	Facility		$495.95	$1,418.55	$4,870.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $492.90 / $1,081.81 / $3,493.10	Professional		$492.90	$1,081.81	$3,493.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $146.39 / $1,287.23 / $2,461.71	Professional		$146.39	$1,287.23	$2,461.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $766.65 / $1,918.21 / $2,287.38	Facility		$766.65	$1,918.21	$2,287.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,560.20 / $1,560.20 / $1,645.75	Facility		$1,560.20	$1,560.20	$1,645.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $551.71 / $1,067.42 / $2,859.91	Professional		$551.71	$1,067.42	$2,859.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,098.52 / $15,564.30 / $29,789.77	Facility		$10,098.52	$15,564.30	$29,789.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $512.65 / $985.44 / $2,642.44	Professional		$512.65	$985.44	$2,642.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $20,708.00	Facility		$3,028.00	$11,540.00	$20,708.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,276.00 / $1,944.32 / $3,192.78	Professional		$1,276.00	$1,944.32	$3,192.78