Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.14 / $2,050.05 / $20,680.40	Facility		$898.14	$2,050.05	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.70 / $898.14 / $1,864.35	Professional		$663.70	$898.14	$1,864.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $936.80 / $14,302.50 / $28,049.69	Facility		$936.80	$14,302.50	$28,049.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $986.43 / $1,726.40 / $5,960.33	Professional		$986.43	$1,726.40	$5,960.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,585.08 / $3,585.08 / $5,972.71	Facility		$3,585.08	$3,585.08	$5,972.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $890.17 / $1,437.64 / $2,107.67	Professional		$890.17	$1,437.64	$2,107.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $876.38 / $1,638.97 / $9,391.74	Facility		$876.38	$1,638.97	$9,391.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $879.78 / $1,573.37 / $4,024.14	Professional		$879.78	$1,573.37	$4,024.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.90 / $1,127.45 / $1,848.29	Professional		$174.90	$1,127.45	$1,848.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,027.04 / $1,368.60 / $1,442.96	Facility		$1,027.04	$1,368.60	$1,442.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $936.80 / $958.33 / $2,173.03	Facility		$936.80	$958.33	$2,173.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $986.43 / $1,598.54 / $1,965.52	Professional		$986.43	$1,598.54	$1,965.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,508.65 / $14,655.16 / $28,049.69	Facility		$9,508.65	$14,655.16	$28,049.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $955.42 / $1,378.56 / $1,856.89	Professional		$955.42	$1,378.56	$1,856.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00
United Facility/Professional Professional Modifier Low / Median / High Price $914.43 / $1,502.37 / $2,008.23	Professional		$914.43	$1,502.37	$2,008.23