Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.00 / $5,128.00 / $18,800.00	Facility		$801.00	$5,128.00	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.43 / $625.90 / $1,272.65	Professional		$412.43	$625.90	$1,272.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,141.54 / $9,879.37 / $25,560.89	Facility		$7,141.54	$9,879.37	$25,560.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $664.48 / $1,136.80 / $4,147.28	Professional		$664.48	$1,136.80	$4,147.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,920.80 / $3,920.80 / $3,920.80	Facility		$3,920.80	$3,920.80	$3,920.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.69 / $978.25 / $1,468.86	Professional		$607.69	$978.25	$1,468.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $639.97 / $1,093.28 / $9,036.82	Facility		$639.97	$1,093.28	$9,036.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $639.97 / $1,078.30 / $2,478.67	Professional		$639.97	$1,078.30	$2,478.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.05 / $586.84 / $1,073.14	Professional		$53.05	$586.84	$1,073.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $682.18 / $940.01 / $974.18	Facility		$682.18	$940.01	$974.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $643.26 / $643.26 / $664.48	Facility		$643.26	$643.26	$664.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $683.96 / $1,090.36 / $1,318.92	Professional		$683.96	$1,090.36	$1,318.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,208.83 / $9,873.73 / $18,898.13	Facility		$7,208.83	$9,873.73	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $656.04 / $953.09 / $1,287.52	Professional		$656.04	$953.09	$1,287.52
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 $614.67 / $841.81 / $1,383.55	Professional		$614.67	$841.81	$1,383.55