Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,008.95 / $2,769.52 / $18,711.00	Facility		$1,008.95	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.97 / $709.27 / $1,471.64	Professional		$500.97	$709.27	$1,471.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $739.30 / $25,527.34 / $49,939.07	Facility		$739.30	$25,527.34	$49,939.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $778.98 / $1,362.86 / $4,706.70	Professional		$778.98	$1,362.86	$4,706.70
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 $726.95 / $1,135.32 / $1,664.91	Professional		$726.95	$1,135.32	$1,664.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $692.62 / $1,294.39 / $10,355.62	Facility		$692.62	$1,294.39	$10,355.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $694.45 / $1,241.93 / $7,627.76	Professional		$694.45	$1,241.93	$7,627.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.10 / $861.24 / $1,414.09	Professional		$135.10	$861.24	$1,414.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $810.95 / $1,081.41 / $1,109.76	Facility		$810.95	$1,081.41	$1,109.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $739.30 / $756.79 / $2,173.03	Facility		$739.30	$756.79	$2,173.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $778.98 / $1,262.36 / $1,552.17	Professional		$778.98	$1,262.36	$1,552.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,231.92 / $25,527.34 / $49,939.07	Facility		$16,231.92	$25,527.34	$49,939.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $753.98 / $1,088.65 / $1,466.39	Professional		$753.98	$1,088.65	$1,466.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $6,857.00 / $8,805.09	Facility		$1,120.00	$6,857.00	$8,805.09
United Facility/Professional Professional Modifier Low / Median / High Price $700.95 / $1,157.78 / $1,586.33	Professional		$700.95	$1,157.78	$1,586.33