Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.39 / $2,769.52 / $18,711.00	Facility		$879.39	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.82 / $618.64 / $1,286.14	Professional		$436.82	$618.64	$1,286.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $644.16 / $9,388.90 / $18,898.13	Facility		$644.16	$9,388.90	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $691.03 / $1,187.73 / $4,116.22	Professional		$691.03	$1,187.73	$4,116.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,353.44 / $2,353.44 / $3,920.80	Facility		$2,353.44	$2,353.44	$3,920.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $633.40 / $989.53 / $1,454.54	Professional		$633.40	$989.53	$1,454.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $603.49 / $1,127.29 / $3,586.37	Facility		$603.49	$1,127.29	$3,586.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $605.01 / $1,081.98 / $2,641.65	Professional		$605.01	$1,081.98	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $126.64 / $807.07 / $1,324.34	Professional		$126.64	$807.07	$1,324.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $728.79 / $943.05 / $991.44	Facility		$728.79	$943.05	$991.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $644.16 / $661.28 / $1,470.05	Facility		$644.16	$661.28	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $680.67 / $1,103.05 / $1,356.27	Professional		$680.67	$1,103.05	$1,356.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,873.73 / $18,898.13	Facility		$6,079.47	$9,873.73	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $656.96 / $951.25 / $1,281.32	Professional		$656.96	$951.25	$1,281.32
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 $623.91 / $950.06 / $1,382.55	Professional		$623.91	$950.06	$1,382.55