Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,279.77 / $5,116.62 / $20,680.40	Facility		$1,279.77	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $714.73 / $927.39 / $1,835.88	Professional		$714.73	$927.39	$1,835.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,968.10 / $9,879.37 / $25,560.89	Facility		$5,968.10	$9,879.37	$25,560.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $988.78 / $1,634.48 / $6,017.00	Professional		$988.78	$1,634.48	$6,017.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,353.44 / $2,353.44 / $3,920.80	Facility		$2,353.44	$2,353.44	$3,920.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $878.77 / $1,440.06 / $2,122.42	Professional		$878.77	$1,440.06	$2,122.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $866.88 / $1,590.20 / $6,254.64	Facility		$866.88	$1,590.20	$6,254.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $872.90 / $1,561.07 / $2,641.65	Professional		$872.90	$1,561.07	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.45 / $834.22 / $1,621.63	Professional		$100.45	$834.22	$1,621.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,021.58 / $1,361.44 / $1,408.34	Facility		$1,021.58	$1,361.44	$1,408.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $932.27 / $960.61 / $1,470.05	Facility		$932.27	$960.61	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $988.78 / $1,602.35 / $1,970.20	Professional		$988.78	$1,602.35	$1,970.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,411.94 / $9,660.15 / $18,898.13	Facility		$6,411.94	$9,660.15	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $950.80 / $1,380.08 / $1,861.32	Professional		$950.80	$1,380.08	$1,861.32
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 $894.52 / $1,401.14 / $2,012.66	Professional		$894.52	$1,401.14	$2,012.66