Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,086.49 / $2,769.52 / $18,711.00	Facility		$1,086.49	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.38 / $764.64 / $1,562.39	Professional		$564.38	$764.64	$1,562.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $796.37 / $14,302.50 / $28,049.69	Facility		$796.37	$14,302.50	$28,049.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $853.77 / $1,467.44 / $5,074.95	Professional		$853.77	$1,467.44	$5,074.95
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 $781.62 / $1,222.56 / $1,794.16	Professional		$781.62	$1,222.56	$1,794.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $745.67 / $1,385.53 / $5,463.26	Facility		$745.67	$1,385.53	$5,463.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $748.63 / $1,338.82 / $4,024.14	Professional		$748.63	$1,338.82	$4,024.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.34 / $967.53 / $1,590.33	Professional		$152.34	$967.53	$1,590.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $884.90 / $1,164.06 / $1,196.80	Facility		$884.90	$1,164.06	$1,196.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $796.37 / $815.75 / $2,173.03	Facility		$796.37	$815.75	$2,173.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $839.66 / $1,360.71 / $1,673.08	Professional		$839.66	$1,360.71	$1,673.08
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 $812.20 / $1,173.46 / $1,580.62	Professional		$812.20	$1,173.46	$1,580.62
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $771.32 / $1,156.81 / $1,709.17	Professional		$771.32	$1,156.81	$1,709.17