Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.80 / $2,153.08 / $20,680.40	Facility		$979.80	$2,153.08	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $738.46 / $979.80 / $1,958.04	Professional		$738.46	$979.80	$1,958.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $986.18 / $9,286.14 / $18,898.13	Facility		$986.18	$9,286.14	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,060.93 / $1,817.36 / $6,344.25	Professional		$1,060.93	$1,817.36	$6,344.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $927.65 / $1,524.73 / $2,247.38	Professional		$927.65	$1,524.73	$2,247.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $917.70 / $1,656.23 / $9,036.82	Facility		$917.70	$1,656.23	$9,036.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $917.70 / $1,646.16 / $2,220.92	Professional		$917.70	$1,646.16	$2,220.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.45 / $887.59 / $1,743.65	Professional		$100.45	$887.59	$1,743.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,099.56 / $1,439.83 / $1,491.42	Facility		$1,099.56	$1,439.83	$1,491.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $986.18 / $986.18 / $1,017.28	Facility		$986.18	$986.18	$1,017.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.10 / $1,696.88 / $2,086.42	Professional		$1,047.10	$1,696.88	$2,086.42
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 $1,005.77 / $1,461.22 / $1,971.12	Professional		$1,005.77	$1,461.22	$1,971.12
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 $902.59 / $1,437.50 / $2,121.19	Professional		$902.59	$1,437.50	$2,121.19