Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.77 / $3,925.18 / $17,930.00	Facility		$895.77	$3,925.18	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.38 / $895.77 / $1,790.92	Professional		$673.38	$895.77	$1,790.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $899.21 / $9,388.90 / $18,898.13	Facility		$899.21	$9,388.90	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $957.73 / $1,587.16 / $5,808.08	Professional		$957.73	$1,587.16	$5,808.08
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 $840.42 / $1,393.51 / $2,059.16	Professional		$840.42	$1,393.51	$2,059.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $827.15 / $1,534.40 / $5,498.43	Facility		$827.15	$1,534.40	$5,498.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $838.74 / $1,491.56 / $2,641.65	Professional		$838.74	$1,491.56	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.07 / $793.64 / $1,582.34	Professional		$100.07	$793.64	$1,582.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $959.42 / $1,311.86 / $1,364.12	Facility		$959.42	$1,311.86	$1,364.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $899.21 / $930.45 / $1,470.05	Facility		$899.21	$930.45	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $957.73 / $1,550.96 / $1,908.34	Professional		$957.73	$1,550.96	$1,908.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,873.73 / $18,898.13	Facility		$6,079.47	$9,873.73	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $917.07 / $1,333.53 / $1,802.88	Professional		$917.07	$1,333.53	$1,802.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $817.73 / $1,304.48 / $1,935.83	Professional		$817.73	$1,304.48	$1,935.83