Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.27 / $3,925.18 / $18,711.00	Facility		$891.27	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.85 / $643.29 / $1,198.29	Professional		$425.85	$643.29	$1,198.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,839.30 / $8,052.47 / $16,394.00	Facility		$3,839.30	$8,052.47	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $691.54 / $1,227.56 / $4,408.43	Professional		$691.54	$1,227.56	$4,408.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,708.80 / $1,708.80 / $2,846.84	Facility		$1,708.80	$1,708.80	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $597.64 / $1,022.72 / $1,506.60	Professional		$597.64	$1,022.72	$1,506.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $590.82 / $1,024.90 / $4,702.87	Facility		$590.82	$1,024.90	$4,702.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $615.72 / $1,004.12 / $1,918.07	Professional		$615.72	$1,004.12	$1,918.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.78 / $551.80 / $1,159.14	Professional		$89.78	$551.80	$1,159.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $640.51 / $909.80 / $1,005.00	Facility		$640.51	$909.80	$1,005.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $669.08 / $685.50 / $1,048.55	Facility		$669.08	$685.50	$1,048.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $705.60 / $1,141.24 / $1,405.95	Professional		$705.60	$1,141.24	$1,405.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,899.91 / $8,047.87 / $15,403.47	Facility		$4,899.91	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $682.37 / $982.56 / $1,328.25	Professional		$682.37	$982.56	$1,328.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $603.34 / $1,071.90 / $1,432.81	Professional		$603.34	$1,071.90	$1,432.81