Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.10 / $3,925.18 / $18,711.00	Facility		$888.10	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.37 / $627.52 / $1,269.73	Professional		$420.37	$627.52	$1,269.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,968.10 / $9,879.37 / $18,898.13	Facility		$5,968.10	$9,879.37	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $673.50 / $1,132.71 / $4,505.85	Professional		$673.50	$1,132.71	$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 $606.14 / $999.33 / $1,477.23	Professional		$606.14	$999.33	$1,477.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $601.44 / $1,099.63 / $5,453.39	Facility		$601.44	$1,099.63	$5,453.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $603.72 / $1,079.67 / $2,641.65	Professional		$603.72	$1,079.67	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.39 / $635.11 / $1,154.52	Professional		$53.39	$635.11	$1,154.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $684.53 / $938.67 / $978.87	Facility		$684.53	$938.67	$978.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.53 / $667.68 / $1,470.05	Facility		$645.53	$667.68	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $687.25 / $1,113.72 / $1,369.40	Professional		$687.25	$1,113.72	$1,369.40
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 $658.35 / $956.41 / $1,293.72	Professional		$658.35	$956.41	$1,293.72
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 $588.42 / $980.71 / $1,388.40	Professional		$588.42	$980.71	$1,388.40