Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.05 / $5,116.62 / $20,680.40	Facility		$1,038.05	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.04 / $751.68 / $1,476.68	Professional		$539.04	$751.68	$1,476.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,968.10 / $9,879.37 / $25,560.89	Facility		$5,968.10	$9,879.37	$25,560.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $802.97 / $1,324.12 / $5,128.33	Professional		$802.97	$1,324.12	$5,128.33
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 $706.23 / $1,168.05 / $1,725.60	Professional		$706.23	$1,168.05	$1,725.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $701.76 / $1,285.26 / $5,967.13	Facility		$701.76	$1,285.26	$5,967.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $703.08 / $1,255.00 / $2,641.65	Professional		$703.08	$1,255.00	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $688.71 / $1,337.63	Professional		$99.37	$688.71	$1,337.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $805.01 / $1,094.10 / $1,143.69	Facility		$805.01	$1,094.10	$1,143.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $755.15 / $780.10 / $1,470.05	Facility		$755.15	$780.10	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $802.97 / $1,301.25 / $1,599.97	Professional		$802.97	$1,301.25	$1,599.97
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 $770.15 / $1,118.03 / $1,511.55	Professional		$770.15	$1,118.03	$1,511.55
United Facility/Professional Facility Modifier Low / Median / High Price $5,519.00 / $12,335.51 / $19,730.93	Facility		$5,519.00	$12,335.51	$19,730.93
United Facility/Professional Professional Modifier Low / Median / High Price $717.00 / $1,214.18 / $1,645.38	Professional		$717.00	$1,214.18	$1,645.38