Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,021.49 / $4,011.00 / $18,711.00	Facility		$1,021.49	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.47 / $720.73 / $1,451.49	Professional		$483.47	$720.73	$1,451.49
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 $798.72 / $1,372.82 / $4,791.68	Professional		$798.72	$1,372.82	$4,791.68
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 $693.84 / $1,149.43 / $1,697.74	Professional		$693.84	$1,149.43	$1,697.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $690.15 / $1,265.49 / $8,210.75	Facility		$690.15	$1,265.49	$8,210.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.74 / $1,234.24 / $4,024.14	Professional		$691.74	$1,234.24	$4,024.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.48 / $470.18 / $1,250.29	Professional		$82.48	$470.18	$1,250.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $829.08 / $1,075.34 / $1,124.93	Facility		$829.08	$1,075.34	$1,124.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.11 / $767.30 / $2,173.03	Facility		$741.11	$767.30	$2,173.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $789.80 / $1,279.39 / $1,573.73	Professional		$789.80	$1,279.39	$1,573.73
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 $755.83 / $1,100.08 / $1,486.75	Professional		$755.83	$1,100.08	$1,486.75
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 $707.52 / $1,194.67 / $1,615.23	Professional		$707.52	$1,194.67	$1,615.23