Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.75 / $2,847.07 / $18,711.00	Facility		$512.75	$2,847.07	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.25 / $851.26 / $2,216.11	Professional		$274.25	$851.26	$2,216.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,415.62 / $9,032.98 / $23,371.01	Facility		$2,415.62	$9,032.98	$23,371.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $476.39 / $2,133.81 / $8,744.07	Professional		$476.39	$2,133.81	$8,744.07
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 $419.54 / $922.76 / $3,424.52	Professional		$419.54	$922.76	$3,424.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $425.10 / $1,651.35 / $3,300.02	Facility		$425.10	$1,651.35	$3,300.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.61 / $1,285.93 / $2,898.01	Professional		$421.61	$1,285.93	$2,898.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $146.03 / $1,534.59 / $2,935.26	Professional		$146.03	$1,534.59	$2,935.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $530.64 / $2,046.85 / $2,309.48	Facility		$530.64	$2,046.85	$2,309.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,532.78 / $1,532.78 / $1,642.13	Facility		$1,532.78	$1,532.78	$1,642.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.13 / $917.32 / $2,809.65	Professional		$474.13	$917.32	$2,809.65
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 $447.49 / $846.86 / $2,604.38	Professional		$447.49	$846.86	$2,604.38
United Facility/Professional Facility Modifier Low / Median / High Price $7,198.00 / $11,257.27 / $18,347.95	Facility		$7,198.00	$11,257.27	$18,347.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,382.49 / $1,920.04 / $3,316.45	Professional		$1,382.49	$1,920.04	$3,316.45