Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.67 / $2,769.52 / $18,711.00	Facility		$846.67	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.40 / $594.54 / $1,234.05	Professional		$420.40	$594.54	$1,234.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,562.96 / $14,302.50 / $28,049.69	Facility		$8,562.96	$14,302.50	$28,049.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $654.79 / $1,143.74 / $3,959.40	Professional		$654.79	$1,143.74	$3,959.40
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 $609.45 / $952.70 / $1,399.41	Professional		$609.45	$952.70	$1,399.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $580.57 / $1,084.11 / $5,463.26	Facility		$580.57	$1,084.11	$5,463.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $582.65 / $1,041.99 / $4,024.14	Professional		$582.65	$1,041.99	$4,024.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.38 / $754.11 / $1,234.58	Professional		$118.38	$754.11	$1,234.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $675.86 / $907.72 / $954.72	Facility		$675.86	$907.72	$954.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $620.61 / $636.14 / $2,173.03	Facility		$620.61	$636.14	$2,173.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $654.79 / $1,061.11 / $1,304.72	Professional		$654.79	$1,061.11	$1,304.72
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 $632.94 / $915.10 / $1,232.61	Professional		$632.94	$915.10	$1,232.61
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 $600.16 / $971.64 / $1,330.47	Professional		$600.16	$971.64	$1,330.47