Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.45 / $2,310.55 / $17,263.45	Facility		$621.45	$2,310.55	$17,263.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.86 / $830.02 / $1,988.63	Professional		$366.86	$830.02	$1,988.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,593.36 / $9,879.37 / $18,898.13	Facility		$1,593.36	$9,879.37	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $618.42 / $1,681.48 / $7,358.63	Professional		$618.42	$1,681.48	$7,358.63
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 $539.74 / $1,025.85 / $2,682.21	Professional		$539.74	$1,025.85	$2,682.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $547.72 / $1,236.06 / $3,140.04	Facility		$547.72	$1,236.06	$3,140.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $540.26 / $1,017.85 / $2,478.67	Professional		$540.26	$1,017.85	$2,478.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $222.43 / $1,434.11 / $2,327.93	Professional		$222.43	$1,434.11	$2,327.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $742.31 / $1,539.57 / $1,806.99	Facility		$742.31	$1,539.57	$1,806.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,207.84 / $1,223.55 / $1,470.05	Facility		$1,207.84	$1,223.55	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $586.19 / $1,130.47 / $2,298.84	Professional		$586.19	$1,130.47	$2,298.84
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 $544.41 / $1,104.29 / $2,045.68	Professional		$544.41	$1,104.29	$2,045.68
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 $1,098.69 / $1,873.45 / $2,695.52	Professional		$1,098.69	$1,873.45	$2,695.52