Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,218.16 / $5,116.62 / $18,800.00	Facility		$1,218.16	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.48 / $882.12 / $1,712.31	Professional		$664.48	$882.12	$1,712.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26,542.00 / $57,131.89 / $109,349.35	Facility		$26,542.00	$57,131.89	$109,349.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $941.27 / $1,550.19 / $12,100.00	Professional		$941.27	$1,550.19	$12,100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24,449.96 / $24,449.96 / $40,733.35	Facility		$24,449.96	$24,449.96	$40,733.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $818.53 / $1,370.72 / $2,029.15	Professional		$818.53	$1,370.72	$2,029.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $817.86 / $1,507.09 / $42,431.62	Facility		$817.86	$1,507.09	$42,431.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $824.88 / $1,462.63 / $27,444.25	Professional		$824.88	$1,462.63	$27,444.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.54 / $788.88 / $1,508.76	Professional		$99.54	$788.88	$1,508.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $941.69 / $1,266.30 / $1,340.67	Facility		$941.69	$1,266.30	$1,340.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $880.63 / $914.46 / $16,344.88	Facility		$880.63	$914.46	$16,344.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $941.27 / $1,514.86 / $1,875.54	Professional		$941.27	$1,514.86	$1,875.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37,068.65 / $57,131.89 / $109,349.35	Facility		$37,068.65	$57,131.89	$109,349.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $898.13 / $1,308.92 / $1,771.89	Professional		$898.13	$1,308.92	$1,771.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $11,798.00 / $43,830.00	Facility		$3,960.00	$11,798.00	$43,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $835.12 / $1,328.60 / $1,900.10	Professional		$835.12	$1,328.60	$1,900.10