Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $826.45 / $3,925.18 / $18,711.00	Facility		$826.45	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.08 / $583.34 / $1,187.42	Professional		$429.08	$583.34	$1,187.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,879.37 / $18,898.13	Facility		$6,079.47	$9,879.37	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $630.00 / $1,053.94 / $4,505.85	Professional		$630.00	$1,053.94	$4,505.85
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 $563.17 / $929.97 / $1,373.44	Professional		$563.17	$929.97	$1,373.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $559.86 / $1,024.10 / $8,210.75	Facility		$559.86	$1,024.10	$8,210.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $565.02 / $1,004.97 / $2,641.65	Professional		$565.02	$1,004.97	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $617.36 / $1,111.42	Professional		$68.73	$617.36	$1,111.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $640.42 / $873.01 / $917.32	Facility		$640.42	$873.01	$917.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $599.32 / $620.61 / $1,470.05	Facility		$599.32	$620.61	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.79 / $1,034.50 / $1,272.84	Professional		$638.79	$1,034.50	$1,272.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,907.26 / $9,879.37 / $18,898.13	Facility		$6,907.26	$9,879.37	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $611.23 / $889.90 / $1,202.51	Professional		$611.23	$889.90	$1,202.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,594.00 / $11,941.00	Facility		$2,155.00	$6,594.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.32 / $901.13 / $1,291.83	Professional		$573.32	$901.13	$1,291.83