Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $658.78 / $4,445.01 / $19,900.00	Facility		$658.78	$4,445.01	$19,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.93 / $1,485.05 / $3,461.63	Professional		$325.93	$1,485.05	$3,461.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,429.41 / $15,224.93 / $30,984.11	Facility		$2,429.41	$15,224.93	$30,984.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $592.99 / $3,252.86 / $13,077.76	Professional		$592.99	$3,252.86	$13,077.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,327.64 / $8,327.64 / $8,327.64	Facility		$8,327.64	$8,327.64	$8,327.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.91 / $1,161.80 / $5,426.42	Professional		$571.91	$1,161.80	$5,426.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $567.63 / $2,744.27 / $5,610.78	Facility		$567.63	$2,744.27	$5,610.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $567.63 / $2,195.42 / $5,177.54	Professional		$567.63	$2,195.42	$5,177.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $450.90 / $2,736.20 / $4,578.62	Professional		$450.90	$2,736.20	$4,578.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $667.88 / $3,361.39 / $3,835.75	Facility		$667.88	$3,361.39	$3,835.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,429.41 / $2,429.41 / $2,530.46	Facility		$2,429.41	$2,429.41	$2,530.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.08 / $1,191.96 / $4,453.21	Professional		$616.08	$1,191.96	$4,453.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,819.11 / $16,197.56 / $30,984.11	Facility		$11,819.11	$16,197.56	$30,984.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $577.80 / $1,100.41 / $4,114.58	Professional		$577.80	$1,100.41	$4,114.58
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 $730.32 / $2,909.90 / $5,261.97	Professional		$730.32	$2,909.90	$5,261.97