Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.78 / $3,354.00 / $18,711.00	Facility		$603.78	$3,354.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.30 / $1,336.95 / $2,888.00	Professional		$336.30	$1,336.95	$2,888.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,723.35 / $8,490.57 / $17,279.07	Facility		$1,723.35	$8,490.57	$17,279.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $580.33 / $2,399.11 / $9,202.71	Professional		$580.33	$2,399.11	$9,202.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,126.31 / $5,126.31 / $5,126.31	Facility		$5,126.31	$5,126.31	$5,126.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.13 / $1,054.50 / $3,821.08	Professional		$527.13	$1,054.50	$3,821.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $548.80 / $2,099.88 / $4,913.09	Facility		$548.80	$2,099.88	$4,913.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $535.16 / $1,673.69 / $4,367.35	Professional		$535.16	$1,673.69	$4,367.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $322.40 / $1,942.65 / $3,212.45	Professional		$322.40	$1,942.65	$3,212.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $708.19 / $2,382.98 / $3,073.37	Facility		$708.19	$2,382.98	$3,073.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.35 / $1,723.35 / $1,790.26	Facility		$1,723.35	$1,723.35	$1,790.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $577.57 / $1,117.46 / $3,158.97	Professional		$577.57	$1,117.46	$3,158.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,484.59 / $9,027.82 / $17,279.07	Facility		$6,484.59	$9,027.82	$17,279.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $569.36 / $1,031.63 / $2,918.75	Professional		$569.36	$1,031.63	$2,918.75
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 $1,608.18 / $2,595.05 / $3,711.37	Professional		$1,608.18	$2,595.05	$3,711.37