Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.12 / $4,500.00 / $18,711.00	Facility		$600.12	$4,500.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.80 / $600.12 / $1,182.29	Professional		$441.80	$600.12	$1,182.29
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 $647.57 / $1,113.03 / $3,887.10	Professional		$647.57	$1,113.03	$3,887.10
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 $566.14 / $932.10 / $1,377.59	Professional		$566.14	$932.10	$1,377.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $561.12 / $1,026.93 / $5,967.13	Facility		$561.12	$1,026.93	$5,967.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.44 / $1,005.85 / $2,641.65	Professional		$562.44	$1,005.85	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.67 / $543.08 / $1,083.42	Professional		$89.67	$543.08	$1,083.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $674.73 / $875.69 / $912.54	Facility		$674.73	$875.69	$912.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $601.13 / $622.42 / $1,470.05	Facility		$601.13	$622.42	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $640.67 / $1,037.64 / $1,276.59	Professional		$640.67	$1,037.64	$1,276.59
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 $613.07 / $891.90 / $1,206.05	Professional		$613.07	$891.90	$1,206.05
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 $575.08 / $894.93 / $1,294.74	Professional		$575.08	$894.93	$1,294.74