Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $605.40 / $3,354.00 / $18,711.00	Facility		$605.40	$3,354.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.81 / $888.37 / $2,792.86	Professional		$293.81	$888.37	$2,792.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,074.29 / $9,032.98 / $23,371.01	Facility		$2,074.29	$9,032.98	$23,371.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $571.82 / $2,632.52 / $10,472.16	Professional		$571.82	$2,632.52	$10,472.16
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 $446.64 / $1,090.58 / $4,366.47	Professional		$446.64	$1,090.58	$4,366.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $515.57 / $1,843.95 / $3,656.74	Facility		$515.57	$1,843.95	$3,656.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.76 / $1,676.69 / $3,639.65	Professional		$512.76	$1,676.69	$3,639.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $196.89 / $1,598.77 / $3,077.03	Professional		$196.89	$1,598.77	$3,077.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $613.72 / $2,350.36 / $2,870.28	Facility		$613.72	$2,350.36	$2,870.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,957.79 / $1,957.79 / $2,074.29	Facility		$1,957.79	$1,957.79	$2,074.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.40 / $1,107.45 / $3,588.71	Professional		$572.40	$1,107.45	$3,588.71
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 $532.58 / $1,022.39 / $3,315.82	Professional		$532.58	$1,022.39	$3,315.82
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 $1,650.47 / $2,369.91 / $4,189.67	Professional		$1,650.47	$2,369.91	$4,189.67