Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.00 / $4,011.00 / $18,711.00	Facility		$699.00	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $452.97 / $566.29 / $1,190.32	Professional		$452.97	$566.29	$1,190.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,700.71 / $9,032.98 / $17,279.07	Facility		$5,700.71	$9,032.98	$17,279.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $628.16 / $1,069.36 / $3,991.35	Professional		$628.16	$1,069.36	$3,991.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,763.00 / $3,763.00 / $3,763.00	Facility		$3,763.00	$3,763.00	$3,763.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.09 / $897.84 / $1,340.58	Professional		$567.09	$897.84	$1,340.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $631.32 / $1,088.16 / $6,901.60	Facility		$631.32	$1,088.16	$6,901.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $631.32 / $1,006.36 / $2,378.91	Professional		$631.32	$1,006.36	$2,378.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.02 / $560.91 / $1,009.92	Professional		$53.02	$560.91	$1,009.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $654.08 / $859.90 / $996.96	Facility		$654.08	$859.90	$996.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $612.46 / $612.46 / $619.69	Facility		$612.46	$612.46	$619.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.95 / $1,025.69 / $1,230.03	Professional		$650.95	$1,025.69	$1,230.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,857.48 / $9,027.82 / $17,279.07	Facility		$5,857.48	$9,027.82	$17,279.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $624.62 / $891.43 / $1,200.74	Professional		$624.62	$891.43	$1,200.74
United Facility/Professional Facility Modifier Low / Median / High Price $7,198.00 / $11,257.27 / $18,347.95	Facility		$7,198.00	$11,257.27	$18,347.95
United Facility/Professional Professional Modifier Low / Median / High Price $584.76 / $863.05 / $1,301.50	Professional		$584.76	$863.05	$1,301.50