Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,192.57 / $5,128.00 / $23,856.49	Facility		$1,192.57	$5,128.00	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $654.46 / $863.00 / $1,721.01	Professional		$654.46	$863.00	$1,721.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,886.41 / $16,351.48 / $31,278.54	Facility		$9,886.41	$16,351.48	$31,278.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $933.93 / $1,605.22 / $5,585.48	Professional		$933.93	$1,605.22	$5,585.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,066.66 / $4,066.66 / $6,775.01	Facility		$4,066.66	$4,066.66	$6,775.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $820.12 / $1,341.94 / $1,978.25	Professional		$820.12	$1,341.94	$1,978.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $886.42 / $1,470.88 / $12,028.17	Facility		$886.42	$1,470.88	$12,028.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $929.66 / $1,455.60 / $4,564.68	Professional		$929.66	$1,455.60	$4,564.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.45 / $749.18 / $1,532.49	Professional		$100.45	$749.18	$1,532.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,019.69 / $1,278.35 / $1,404.32	Facility		$1,019.69	$1,278.35	$1,404.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.76 / $895.72 / $2,429.53	Facility		$869.76	$895.72	$2,429.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $943.79 / $1,494.11 / $1,837.11	Professional		$943.79	$1,494.11	$1,837.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,603.20 / $16,342.14 / $31,278.54	Facility		$10,603.20	$16,342.14	$31,278.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $887.04 / $1,286.30 / $1,735.58	Professional		$887.04	$1,286.30	$1,735.58
United Facility/Professional Facility Modifier Low / Median / High Price $12,579.00 / $20,867.06 / $33,377.36	Facility		$12,579.00	$20,867.06	$33,377.36
United Facility/Professional Professional Modifier Low / Median / High Price $833.37 / $1,265.42 / $1,871.76	Professional		$833.37	$1,265.42	$1,871.76