Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.95 / $10,596.56 / $27,982.24	Facility		$745.95	$10,596.56	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.91 / $745.95 / $835.84	Professional		$553.91	$745.95	$835.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,879.37 / $25,560.89	Facility		$6,079.47	$9,879.37	$25,560.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $788.39 / $1,375.31 / $5,976.81	Professional		$788.39	$1,375.31	$5,976.81
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 $697.27 / $1,144.15 / $1,688.08	Professional		$697.27	$1,144.15	$1,688.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $697.46 / $1,337.24 / $9,036.82	Facility		$697.46	$1,337.24	$9,036.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $738.82 / $1,248.94 / $2,641.65	Professional		$738.82	$1,248.94	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.18 / $561.32 / $801.88	Professional		$80.18	$561.32	$801.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $578.45 / $712.17 / $728.99	Facility		$578.45	$712.17	$728.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $743.37 / $765.93 / $1,470.05	Facility		$743.37	$765.93	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $788.39 / $1,277.60 / $1,570.91	Professional		$788.39	$1,277.60	$1,570.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,208.83 / $9,879.37 / $18,898.13	Facility		$7,208.83	$9,879.37	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $758.14 / $1,100.74 / $1,484.10	Professional		$758.14	$1,100.74	$1,484.10
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 $874.49 / $1,520.81 / $2,117.87	Professional		$874.49	$1,520.81	$2,117.87