Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,253.29 / $5,116.62 / $20,680.40	Facility		$1,253.29	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.19 / $906.66 / $1,867.93	Professional		$668.19	$906.66	$1,867.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $839.66 / $5,625.83 / $11,041.39	Facility		$839.66	$5,625.83	$11,041.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $967.61 / $1,680.87 / $5,863.88	Professional		$967.61	$1,680.87	$5,863.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,364.71 / $1,364.71 / $2,273.59	Facility		$1,364.71	$1,364.71	$2,273.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.98 / $1,410.26 / $2,077.23	Professional		$855.98	$1,410.26	$2,077.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $848.82 / $1,519.12 / $5,967.13	Facility		$848.82	$1,519.12	$5,967.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $850.54 / $1,491.06 / $2,055.92	Professional		$850.54	$1,491.06	$2,055.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $820.42 / $1,563.91	Professional		$100.46	$820.42	$1,563.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,004.01 / $1,329.28 / $1,390.25	Facility		$1,004.01	$1,329.28	$1,390.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $839.66 / $911.44 / $940.05	Facility		$839.66	$911.44	$940.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $967.61 / $1,568.05 / $1,928.03	Professional		$967.61	$1,568.05	$1,928.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,211.81 / $5,768.81 / $11,041.39	Facility		$4,211.81	$5,768.81	$11,041.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $929.54 / $1,345.39 / $1,821.47	Professional		$929.54	$1,345.39	$1,821.47
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 $872.96 / $1,224.25 / $1,961.90	Professional		$872.96	$1,224.25	$1,961.90