Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,305.06 / $5,128.00 / $20,145.72	Facility		$1,305.06	$5,128.00	$20,145.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $732.06 / $943.65 / $2,051.26	Professional		$732.06	$943.65	$2,051.26
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 $986.06 / $1,666.77 / $6,877.00	Professional		$986.06	$1,666.77	$6,877.00
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 $891.64 / $1,468.52 / $2,163.04	Professional		$891.64	$1,468.52	$2,163.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $883.68 / $1,622.18 / $9,036.82	Facility		$883.68	$1,622.18	$9,036.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $885.37 / $1,583.37 / $4,024.14	Professional		$885.37	$1,583.37	$4,024.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.45 / $836.30 / $1,658.69	Professional		$100.45	$836.30	$1,658.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,047.63 / $1,383.55 / $1,455.82	Facility		$1,047.63	$1,383.55	$1,455.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.94 / $978.89 / $2,173.03	Facility		$949.94	$978.89	$2,173.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,007.60 / $1,632.85 / $2,007.70	Professional		$1,007.60	$1,632.85	$2,007.70
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 $968.81 / $1,407.35 / $1,896.74	Professional		$968.81	$1,407.35	$1,896.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00
United Facility/Professional Professional Modifier Low / Median / High Price $905.54 / $1,335.75 / $2,042.99	Professional		$905.54	$1,335.75	$2,042.99