Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,039.79 / $3,925.18 / $18,711.00	Facility		$1,039.79	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.42 / $732.51 / $1,516.06	Professional		$514.42	$732.51	$1,516.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $760.13 / $26,091.73 / $49,939.07	Facility		$760.13	$26,091.73	$49,939.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $803.44 / $1,387.37 / $4,859.85	Professional		$803.44	$1,387.37	$4,859.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,795.54 / $6,795.54 / $11,321.29	Facility		$6,795.54	$6,795.54	$11,321.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $749.15 / $1,170.01 / $1,719.56	Professional		$749.15	$1,170.01	$1,719.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $713.41 / $1,329.56 / $10,355.62	Facility		$713.41	$1,329.56	$10,355.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $717.67 / $1,283.46 / $7,627.76	Professional		$717.67	$1,283.46	$7,627.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.03 / $773.03 / $1,367.58	Professional		$68.03	$773.03	$1,367.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $872.20 / $1,115.06 / $1,159.89	Facility		$872.20	$1,115.06	$1,159.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $760.13 / $780.56 / $4,273.27	Facility		$760.13	$780.56	$4,273.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $803.44 / $1,302.01 / $1,549.33	Professional		$803.44	$1,302.01	$1,549.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,928.99 / $26,091.73 / $49,939.07	Facility		$16,928.99	$26,091.73	$49,939.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $775.24 / $1,122.83 / $1,512.43	Professional		$775.24	$1,122.83	$1,512.43
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $736.12 / $1,220.68 / $1,714.50	Professional		$736.12	$1,220.68	$1,714.50