Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $861.40 / $5,128.00 / $20,680.40	Facility		$861.40	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.00 / $609.47 / $1,225.36	Professional		$406.00	$609.47	$1,225.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,555.74 / $9,879.37 / $25,560.89	Facility		$5,555.74	$9,879.37	$25,560.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $651.51 / $1,097.27 / $8,295.00	Professional		$651.51	$1,097.27	$8,295.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,353.44 / $2,353.44 / $3,920.80	Facility		$2,353.44	$2,353.44	$3,920.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.83 / $969.28 / $1,433.94	Professional		$604.83	$969.28	$1,433.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $583.38 / $1,067.56 / $6,620.15	Facility		$583.38	$1,067.56	$6,620.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $583.94 / $1,038.51 / $2,641.65	Professional		$583.94	$1,038.51	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $389.92 / $1,115.28	Professional		$51.42	$389.92	$1,115.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $683.40 / $905.17 / $948.72	Facility		$683.40	$905.17	$948.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $625.14 / $647.11 / $1,470.05	Facility		$625.14	$647.11	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $666.09 / $1,077.67 / $1,327.22	Professional		$666.09	$1,077.67	$1,327.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,406.33 / $9,873.73 / $18,898.13	Facility		$6,406.33	$9,873.73	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $637.55 / $926.48 / $1,253.86	Professional		$637.55	$926.48	$1,253.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $567.41 / $905.17 / $1,344.95	Professional		$567.41	$905.17	$1,344.95