Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.20 / $3,048.00 / $17,930.00	Facility		$737.20	$3,048.00	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.85 / $591.38 / $1,195.83	Professional		$397.85	$591.38	$1,195.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,482.52 / $9,879.37 / $18,898.13	Facility		$4,482.52	$9,879.37	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $653.85 / $1,123.82 / $3,926.33	Professional		$653.85	$1,123.82	$3,926.33
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 $571.70 / $941.23 / $1,391.64	Professional		$571.70	$941.23	$1,391.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $566.58 / $1,036.10 / $5,453.39	Facility		$566.58	$1,036.10	$5,453.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $567.60 / $1,015.08 / $2,641.65	Professional		$567.60	$1,015.08	$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 $674.42 / $884.40 / $921.92	Facility		$674.42	$884.40	$921.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $608.38 / $628.83 / $1,470.05	Facility		$608.38	$628.83	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.27 / $1,048.92 / $1,289.72	Professional		$647.27	$1,048.92	$1,289.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,406.33 / $9,879.37 / $18,898.13	Facility		$6,406.33	$9,879.37	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $620.47 / $900.55 / $1,218.45	Professional		$620.47	$900.55	$1,218.45
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 $580.79 / $885.92 / $1,373.63	Professional		$580.79	$885.92	$1,373.63