Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.27 / $1,733.00 / $13,809.00	Facility		$314.27	$1,733.00	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.71 / $486.82 / $1,704.19	Professional		$221.71	$486.82	$1,704.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,304.26 / $9,879.37 / $18,898.13	Facility		$1,304.26	$9,879.37	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $307.47 / $1,352.66 / $8,718.02	Professional		$307.47	$1,352.66	$8,718.02
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 $276.44 / $569.60 / $2,277.36	Professional		$276.44	$569.60	$2,277.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $277.39 / $963.48 / $3,140.04	Facility		$277.39	$963.48	$3,140.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.93 / $816.97 / $2,266.37	Professional		$272.93	$816.97	$2,266.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $182.25 / $1,163.30 / $1,911.73	Professional		$182.25	$1,163.30	$1,911.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $1,257.58 / $1,550.25	Facility		$366.00	$1,257.58	$1,550.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,019.57 / $1,042.34 / $1,470.05	Facility		$1,019.57	$1,042.34	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.97 / $572.63 / $1,948.43	Professional		$295.97	$572.63	$1,948.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,660.15 / $18,898.13	Facility		$6,079.47	$9,660.15	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $275.70 / $903.60 / $1,726.79	Professional		$275.70	$903.60	$1,726.79
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 $892.80 / $1,626.50 / $2,174.31	Professional		$892.80	$1,626.50	$2,174.31