Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,154.18 / $3,925.18 / $18,711.00	Facility		$1,154.18	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $550.21 / $814.05 / $1,646.62	Professional		$550.21	$814.05	$1,646.62
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 $872.83 / $1,473.00 / $5,631.92	Professional		$872.83	$1,473.00	$5,631.92
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 $787.36 / $1,298.73 / $1,915.06	Professional		$787.36	$1,298.73	$1,915.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $781.62 / $1,427.12 / $5,463.26	Facility		$781.62	$1,427.12	$5,463.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $782.17 / $1,398.81 / $4,024.14	Professional		$782.17	$1,398.81	$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 $916.06 / $1,220.74 / $1,269.65	Facility		$916.06	$1,220.74	$1,269.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $839.41 / $866.02 / $2,173.03	Facility		$839.41	$866.02	$2,173.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.41 / $1,444.56 / $1,776.18	Professional		$891.41	$1,444.56	$1,776.18
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 $856.09 / $1,243.74 / $1,678.02	Professional		$856.09	$1,243.74	$1,678.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $4,818.00 / $10,522.00	Facility		$1,550.00	$4,818.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $802.12 / $1,179.09 / $1,805.48	Professional		$802.12	$1,179.09	$1,805.48