Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.94 / $6,470.00 / $18,800.00	Facility		$1,071.94	$6,470.00	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.35 / $777.37 / $1,544.68	Professional		$554.35	$777.37	$1,544.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,938.64 / $9,879.37 / $25,560.89	Facility		$4,938.64	$9,879.37	$25,560.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $838.80 / $1,441.71 / $5,017.80	Professional		$838.80	$1,441.71	$5,017.80
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 $736.19 / $1,206.20 / $1,778.05	Professional		$736.19	$1,206.20	$1,778.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $726.18 / $1,340.82 / $5,967.13	Facility		$726.18	$1,340.82	$5,967.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.35 / $1,306.35 / $2,641.65	Professional		$750.35	$1,306.35	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $687.28 / $1,337.63	Professional		$99.37	$687.28	$1,337.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $868.28 / $1,144.35 / $1,179.20	Facility		$868.28	$1,144.35	$1,179.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $780.07 / $804.32 / $1,470.05	Facility		$780.07	$804.32	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $836.98 / $1,341.65 / $1,649.65	Professional		$836.98	$1,341.65	$1,649.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,406.33 / $9,873.73 / $18,898.13	Facility		$6,406.33	$9,873.73	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $795.56 / $1,155.28 / $1,558.48	Professional		$795.56	$1,155.28	$1,558.48
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 $748.44 / $1,190.69 / $1,677.07	Professional		$748.44	$1,190.69	$1,677.07