Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.11 / $2,769.52 / $18,711.00	Facility		$834.11	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.69 / $586.72 / $1,217.09	Professional		$413.69	$586.72	$1,217.09
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 $645.86 / $1,126.31 / $3,906.08	Professional		$645.86	$1,126.31	$3,906.08
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 $600.61 / $938.58 / $1,380.19	Professional		$600.61	$938.58	$1,380.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $572.09 / $1,067.33 / $5,463.26	Facility		$572.09	$1,067.33	$5,463.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $574.48 / $1,027.38 / $4,024.14	Professional		$574.48	$1,027.38	$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 $657.58 / $895.51 / $919.91	Facility		$657.58	$895.51	$919.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $611.54 / $627.46 / $2,173.03	Facility		$611.54	$627.46	$2,173.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.86 / $1,046.64 / $1,286.91	Professional		$645.86	$1,046.64	$1,286.91
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 $623.70 / $902.54 / $1,215.79	Professional		$623.70	$902.54	$1,215.79
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 $603.50 / $980.16 / $1,352.07	Professional		$603.50	$980.16	$1,352.07