Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.46 / $4,500.00 / $18,711.00	Facility		$887.46	$4,500.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.96 / $627.03 / $1,267.89	Professional		$422.96	$627.03	$1,267.89
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 $673.02 / $1,131.92 / $4,505.85	Professional		$673.02	$1,131.92	$4,505.85
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 $605.71 / $998.62 / $1,476.18	Professional		$605.71	$998.62	$1,476.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $601.02 / $1,098.93 / $8,210.75	Facility		$601.02	$1,098.93	$8,210.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $603.29 / $1,078.90 / $4,024.14	Professional		$603.29	$1,078.90	$4,024.14
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 $699.48 / $938.00 / $978.20	Facility		$699.48	$938.00	$978.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.07 / $667.22 / $2,173.03	Facility		$645.07	$667.22	$2,173.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $686.78 / $1,112.96 / $1,368.46	Professional		$686.78	$1,112.96	$1,368.46
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 $657.89 / $955.75 / $1,292.83	Professional		$657.89	$955.75	$1,292.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $616.00 / $961.16 / $1,387.43	Professional		$616.00	$961.16	$1,387.43