Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.49 / $5,128.00 / $20,680.40	Facility		$872.49	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.92 / $619.46 / $1,268.34	Professional		$418.92	$619.46	$1,268.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,445.31 / $9,920.39 / $23,371.01	Facility		$6,445.31	$9,920.39	$23,371.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $660.66 / $1,118.94 / $7,387.04	Professional		$660.66	$1,118.94	$7,387.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,390.91 / $5,390.91 / $5,390.91	Facility		$5,390.91	$5,390.91	$5,390.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.19 / $960.07 / $1,439.23	Professional		$627.19	$960.07	$1,439.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $580.57 / $1,062.19 / $8,820.59	Facility		$580.57	$1,062.19	$8,820.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $580.57 / $1,012.32 / $3,408.05	Professional		$580.57	$1,012.32	$3,408.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.39 / $639.55 / $1,130.82	Professional		$67.39	$639.55	$1,130.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.56 / $921.34 / $981.29	Facility		$707.56	$921.34	$981.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $647.79 / $647.79 / $658.54	Facility		$647.79	$647.79	$658.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $677.85 / $1,089.60 / $1,307.13	Professional		$677.85	$1,089.60	$1,307.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,591.22 / $9,027.82 / $17,279.07	Facility		$6,591.22	$9,027.82	$17,279.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $660.66 / $947.31 / $1,276.01	Professional		$660.66	$947.31	$1,276.01
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 $595.98 / $831.60 / $1,372.13	Professional		$595.98	$831.60	$1,372.13