Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.57 / $5,128.00 / $20,680.40	Facility		$788.57	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.81 / $571.24 / $1,124.11	Professional		$417.81	$571.24	$1,124.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,718.33 / $20,152.55 / $41,012.25	Facility		$6,718.33	$20,152.55	$41,012.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $616.17 / $1,059.08 / $3,696.08	Professional		$616.17	$1,059.08	$3,696.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,508.58 / $4,508.58 / $7,511.25	Facility		$4,508.58	$4,508.58	$7,511.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.94 / $887.33 / $1,310.40	Professional		$554.94	$887.33	$1,310.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $534.24 / $978.23 / $8,316.01	Facility		$534.24	$978.23	$8,316.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $534.91 / $952.79 / $5,060.72	Professional		$534.91	$952.79	$5,060.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.39 / $548.26 / $1,031.71	Professional		$53.39	$548.26	$1,031.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $637.98 / $831.47 / $867.65	Facility		$637.98	$831.47	$867.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.59 / $591.82 / $1,481.16	Facility		$572.59	$591.82	$1,481.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $609.16 / $986.62 / $1,213.80	Professional		$609.16	$986.62	$1,213.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,480.79 / $20,152.55 / $41,012.25	Facility		$8,480.79	$20,152.55	$41,012.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $583.97 / $848.67 / $1,146.72	Professional		$583.97	$848.67	$1,146.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $546.04 / $843.88 / $1,231.98	Professional		$546.04	$843.88	$1,231.98