Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.16 / $5,116.62 / $18,800.00	Facility		$960.16	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.84 / $679.90 / $1,299.84	Professional		$451.84	$679.90	$1,299.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,126.02 / $10,802.03 / $26,542.00	Facility		$6,126.02	$10,802.03	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $744.64 / $1,301.44 / $4,651.50	Professional		$744.64	$1,301.44	$4,651.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,186.71 / $2,186.71 / $3,643.05	Facility		$2,186.71	$2,186.71	$3,643.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.79 / $1,080.41 / $1,589.65	Professional		$628.79	$1,080.41	$1,589.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $638.74 / $1,078.92 / $6,300.19	Facility		$638.74	$1,078.92	$6,300.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $648.01 / $1,037.86 / $2,454.52	Professional		$648.01	$1,037.86	$2,454.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.90 / $556.64 / $1,185.15	Professional		$89.90	$556.64	$1,185.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $705.92 / $976.19 / $1,060.60	Facility		$705.92	$976.19	$1,060.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $708.95 / $723.43 / $1,239.50	Facility		$708.95	$723.43	$1,239.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $744.64 / $1,206.72 / $1,483.75	Professional		$744.64	$1,206.72	$1,483.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,004.63 / $10,795.86 / $20,663.07	Facility		$7,004.63	$10,795.86	$20,663.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $723.03 / $1,038.17 / $1,401.75	Professional		$723.03	$1,038.17	$1,401.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $4,818.00 / $10,522.00	Facility		$1,550.00	$4,818.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $620.62 / $1,025.94 / $1,513.90	Professional		$620.62	$1,025.94	$1,513.90