Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,156.67 / $5,116.62 / $18,800.00	Facility		$1,156.67	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.41 / $815.82 / $1,653.48	Professional		$553.41	$815.82	$1,653.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,562.96 / $14,663.54 / $28,049.69	Facility		$8,562.96	$14,663.54	$28,049.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $904.95 / $1,555.42 / $5,417.70	Professional		$904.95	$1,555.42	$5,417.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,585.08 / $3,585.08 / $5,972.71	Facility		$3,585.08	$3,585.08	$5,972.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $789.09 / $1,301.55 / $1,919.96	Professional		$789.09	$1,301.55	$1,919.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $783.30 / $1,429.95 / $5,463.26	Facility		$783.30	$1,429.95	$5,463.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $783.89 / $1,401.88 / $4,024.14	Professional		$783.89	$1,401.88	$4,024.14
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 $935.85 / $1,224.08 / $1,273.00	Facility		$935.85	$1,224.08	$1,273.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $841.22 / $868.30 / $2,173.03	Facility		$841.22	$868.30	$2,173.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $893.76 / $1,448.37 / $1,780.87	Professional		$893.76	$1,448.37	$1,780.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,508.65 / $14,655.16 / $28,049.69	Facility		$9,508.65	$14,655.16	$28,049.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $857.93 / $1,246.40 / $1,682.45	Professional		$857.93	$1,246.40	$1,682.45
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 $803.22 / $1,321.37 / $1,809.36	Professional		$803.22	$1,321.37	$1,809.36