Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.80 / $5,116.62 / $20,680.40	Facility		$1,162.80	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.34 / $820.49 / $1,658.44	Professional		$604.34	$820.49	$1,658.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,817.25 / $16,351.48 / $31,278.54	Facility		$9,817.25	$16,351.48	$31,278.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $909.78 / $1,563.72 / $18,994.34	Professional		$909.78	$1,563.72	$18,994.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,066.66 / $4,066.66 / $6,775.01	Facility		$4,066.66	$4,066.66	$6,775.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.81 / $1,308.44 / $1,929.18	Professional		$793.81	$1,308.44	$1,929.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $787.50 / $1,428.90 / $8,316.01	Facility		$787.50	$1,428.90	$8,316.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $789.05 / $1,408.91 / $4,564.68	Professional		$789.05	$1,408.91	$4,564.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.99 / $773.97 / $1,478.18	Professional		$99.99	$773.97	$1,478.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $955.59 / $1,230.79 / $1,279.03	Facility		$955.59	$1,230.79	$1,279.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $846.20 / $872.41 / $2,429.53	Facility		$846.20	$872.41	$2,429.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $897.99 / $1,455.23 / $1,789.31	Professional		$897.99	$1,455.23	$1,789.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,603.20 / $16,342.14 / $31,278.54	Facility		$10,603.20	$16,342.14	$31,278.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $863.02 / $1,253.05 / $1,690.42	Professional		$863.02	$1,253.05	$1,690.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $808.29 / $1,328.40 / $1,911.31	Professional		$808.29	$1,328.40	$1,911.31