Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.05 / $2,550.00 / $17,468.86	Facility		$424.05	$2,550.00	$17,468.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.45 / $973.05 / $2,125.33	Professional		$306.45	$973.05	$2,125.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,208.59 / $9,032.98 / $23,371.01	Facility		$2,208.59	$9,032.98	$23,371.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $529.28 / $2,268.73 / $9,047.28	Professional		$529.28	$2,268.73	$9,047.28
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 $481.47 / $1,020.54 / $3,762.45	Professional		$481.47	$1,020.54	$3,762.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $486.14 / $1,856.16 / $3,501.61	Facility		$486.14	$1,856.16	$3,501.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $482.72 / $1,485.40 / $3,231.38	Professional		$482.72	$1,485.40	$3,231.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $196.08 / $1,406.00 / $2,676.75	Professional		$196.08	$1,406.00	$2,676.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $656.04 / $2,332.67 / $2,703.68	Facility		$656.04	$2,332.67	$2,703.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,687.24 / $1,687.24 / $1,805.21	Facility		$1,687.24	$1,687.24	$1,805.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $533.90 / $1,032.96 / $3,092.79	Professional		$533.90	$1,032.96	$3,092.79
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 $498.20 / $953.62 / $2,857.61	Professional		$498.20	$953.62	$2,857.61
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 $1,609.95 / $2,416.69 / $3,676.61	Professional		$1,609.95	$2,416.69	$3,676.61