Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,087.94 / $5,116.62 / $20,680.40	Facility		$1,087.94	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $510.21 / $767.70 / $1,554.07	Professional		$510.21	$767.70	$1,554.07
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 $822.16 / $1,387.93 / $9,677.00	Professional		$822.16	$1,387.93	$9,677.00
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 $740.63 / $1,224.18 / $1,805.63	Professional		$740.63	$1,224.18	$1,805.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $736.59 / $1,344.94 / $6,254.64	Facility		$736.59	$1,344.94	$6,254.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $736.68 / $1,314.78 / $2,641.65	Professional		$736.68	$1,314.78	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $693.53 / $1,379.51	Professional		$99.37	$693.53	$1,379.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $877.10 / $1,150.39 / $1,196.61	Facility		$877.10	$1,150.39	$1,196.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $790.94 / $816.20 / $1,470.05	Facility		$790.94	$816.20	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $840.13 / $1,361.47 / $1,674.02	Professional		$840.13	$1,361.47	$1,674.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,873.73 / $18,898.13	Facility		$6,079.47	$9,873.73	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $806.65 / $1,171.91 / $1,581.50	Professional		$806.65	$1,171.91	$1,581.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $4,818.00 / $10,522.00	Facility		$1,550.00	$4,818.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $755.03 / $1,242.38 / $1,701.20	Professional		$755.03	$1,242.38	$1,701.20