Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.58 / $9,673.00 / $22,024.00	Facility		$941.58	$9,673.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.01 / $811.72 / $1,789.00	Professional		$530.01	$811.72	$1,789.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,749.10 / $16,173.23 / $29,789.77	Facility		$9,749.10	$16,173.23	$29,789.77
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $972.76 / $1,618.01 / $1,618.01	Facility	AS	$972.76	$1,618.01	$1,618.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,026.56 / $1,755.57 / $6,539.33	Professional		$1,026.56	$1,755.57	$6,539.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,128.48 / $7,128.48 / $7,128.48	Facility		$7,128.48	$7,128.48	$7,128.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $904.95 / $1,479.52 / $2,201.96	Professional		$904.95	$1,479.52	$2,201.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $924.76 / $1,579.76 / $10,488.49	Facility		$924.76	$1,579.76	$10,488.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $924.76 / $1,519.85 / $4,506.52	Professional		$924.76	$1,519.85	$4,506.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.94 / $976.97 / $1,693.14	Professional		$66.94	$976.97	$1,693.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,045.16 / $1,406.94 / $1,500.76	Facility		$1,045.16	$1,406.94	$1,500.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,006.57 / $1,006.57 / $1,015.91	Facility		$1,006.57	$1,006.57	$1,015.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,045.70 / $1,683.87 / $2,016.48	Professional		$1,045.70	$1,683.87	$2,016.48
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 $1,026.56 / $1,461.40 / $1,968.47	Professional		$1,026.56	$1,461.40	$1,968.47
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 $851.18 / $1,362.15 / $2,136.64	Professional		$851.18	$1,362.15	$2,136.64