Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.13 / $2,300.01 / $18,711.00	Facility		$606.13	$2,300.01	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.22 / $858.34 / $1,558.35	Professional		$336.22	$858.34	$1,558.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $9,032.98 / $23,371.01	Facility		$1,925.00	$9,032.98	$23,371.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $576.29 / $1,558.05 / $6,364.00	Professional		$576.29	$1,558.05	$6,364.00
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 $515.50 / $1,049.90 / $2,475.00	Professional		$515.50	$1,049.90	$2,475.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $522.65 / $1,376.12 / $2,923.63	Facility		$522.65	$1,376.12	$2,923.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $515.80 / $1,071.60 / $2,499.98	Professional		$515.80	$1,071.60	$2,499.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.15 / $916.68 / $1,768.28	Professional		$144.15	$916.68	$1,768.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $649.90 / $1,548.98 / $1,816.75	Facility		$649.90	$1,548.98	$1,816.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,119.19 / $1,119.19 / $1,156.51	Facility		$1,119.19	$1,119.19	$1,156.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.54 / $1,071.44 / $2,051.53	Professional		$573.54	$1,071.44	$2,051.53
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 $537.41 / $1,024.45 / $1,895.53	Professional		$537.41	$1,024.45	$1,895.53
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 $1,075.85 / $1,621.35 / $2,476.96	Professional		$1,075.85	$1,621.35	$2,476.96