Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.87 / $5,116.62 / $18,711.00	Facility		$396.87	$5,116.62	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.50 / $1,265.57 / $3,957.58	Professional		$217.50	$1,265.57	$3,957.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,705.44 / $14,638.06 / $29,789.77	Facility		$2,705.44	$14,638.06	$29,789.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $370.72 / $3,637.84 / $14,554.64	Professional		$370.72	$3,637.84	$14,554.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.96 / $700.84 / $6,116.54	Professional		$345.96	$700.84	$6,116.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $353.70 / $3,859.23 / $7,434.50	Facility		$353.70	$3,859.23	$7,434.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $347.27 / $2,573.31 / $6,850.31	Professional		$347.27	$2,573.31	$6,850.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $494.75 / $3,012.88 / $5,024.30	Professional		$494.75	$3,012.88	$5,024.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $440.86 / $3,755.24 / $5,015.60	Facility		$440.86	$3,755.24	$5,015.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,705.44 / $2,705.44 / $2,878.82	Facility		$2,705.44	$2,705.44	$2,878.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.96 / $713.84 / $4,959.18	Professional		$368.96	$713.84	$4,959.18
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 $363.71 / $659.01 / $4,584.34	Professional		$363.71	$659.01	$4,584.34
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 $2,926.16 / $4,344.26 / $6,226.00	Professional		$2,926.16	$4,344.26	$6,226.00