Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.79 / $2,769.52 / $18,711.00	Facility		$697.79	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.16 / $660.92 / $1,300.71	Professional		$509.16	$660.92	$1,300.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,968.10 / $9,879.37 / $18,898.13	Facility		$5,968.10	$9,879.37	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $688.75 / $1,164.22 / $7,500.00	Professional		$688.75	$1,164.22	$7,500.00
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 $621.47 / $1,026.70 / $1,516.74	Professional		$621.47	$1,026.70	$1,516.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $617.48 / $1,129.69 / $5,967.13	Facility		$617.48	$1,129.69	$5,967.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $617.82 / $1,104.28 / $2,641.65	Professional		$617.82	$1,104.28	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.43 / $601.01 / $1,164.33	Professional		$95.43	$601.01	$1,164.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $718.34 / $964.13 / $1,005.72	Facility		$718.34	$964.13	$1,005.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $663.19 / $685.96 / $1,470.05	Facility		$663.19	$685.96	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $706.07 / $1,144.21 / $1,406.89	Professional		$706.07	$1,144.21	$1,406.89
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 $676.37 / $983.02 / $1,329.14	Professional		$676.37	$983.02	$1,329.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $3,071.07 / $10,522.00	Facility		$1,862.00	$3,071.07	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $634.55 / $1,020.25 / $1,427.00	Professional		$634.55	$1,020.25	$1,427.00