Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.13 / $2,990.63 / $18,711.00	Facility		$598.13	$2,990.63	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.06 / $899.75 / $2,456.14	Professional		$314.06	$899.75	$2,456.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,057.07 / $15,573.20 / $29,789.77	Facility		$2,057.07	$15,573.20	$29,789.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $568.20 / $2,072.51 / $8,270.64	Professional		$568.20	$2,072.51	$8,270.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,512.54 / $12,512.54 / $12,512.54	Facility		$12,512.54	$12,512.54	$12,512.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.57 / $1,077.67 / $3,442.96	Professional		$461.57	$1,077.67	$3,442.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $510.12 / $1,971.85 / $7,737.05	Facility		$510.12	$1,971.85	$7,737.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $507.16 / $1,538.87 / $3,806.25	Professional		$507.16	$1,538.87	$3,806.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $194.07 / $1,272.32 / $2,474.08	Professional		$194.07	$1,272.32	$2,474.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,083.10 / $2,145.21 / $2,553.05	Facility		$1,083.10	$2,145.21	$2,553.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,547.86 / $1,547.86 / $1,632.16	Facility		$1,547.86	$1,547.86	$1,632.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $565.50 / $1,094.10 / $2,837.29	Professional		$565.50	$1,094.10	$2,837.29
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 $526.11 / $1,010.08 / $2,621.54	Professional		$526.11	$1,010.08	$2,621.54
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 $1,486.65 / $2,273.69 / $3,525.39	Professional		$1,486.65	$2,273.69	$3,525.39