Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.23 / $2,733.80 / $18,711.00	Facility		$694.23	$2,733.80	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.48 / $895.64 / $2,168.23	Professional		$347.48	$895.64	$2,168.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,223.77 / $9,032.98 / $23,371.01	Facility		$2,223.77	$9,032.98	$23,371.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $619.65 / $2,231.64 / $8,889.68	Professional		$619.65	$2,231.64	$8,889.68
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 $508.03 / $1,254.78 / $3,697.35	Professional		$508.03	$1,254.78	$3,697.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $595.67 / $1,949.08 / $3,722.20	Facility		$595.67	$1,949.08	$3,722.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $591.17 / $1,583.01 / $3,300.02	Professional		$591.17	$1,583.01	$3,300.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $196.07 / $1,362.56 / $2,628.91	Professional		$196.07	$1,362.56	$2,628.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $782.33 / $2,142.58 / $2,650.04	Facility		$782.33	$2,142.58	$2,650.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,664.85 / $1,664.85 / $1,751.30	Facility		$1,664.85	$1,664.85	$1,751.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.18 / $1,275.34 / $3,051.74	Professional		$659.18	$1,275.34	$3,051.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,484.59 / $9,027.82 / $17,279.07	Facility		$6,484.59	$9,027.82	$17,279.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $614.97 / $1,177.40 / $2,819.68	Professional		$614.97	$1,177.40	$2,819.68
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 $1,572.06 / $2,245.80 / $3,607.12	Professional		$1,572.06	$2,245.80	$3,607.12