Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $786.64 / $5,125.00 / $23,000.00	Facility		$786.64	$5,125.00	$23,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.01 / $569.15 / $1,209.07	Professional		$413.01	$569.15	$1,209.07
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 $608.23 / $1,056.58 / $3,690.00	Professional		$608.23	$1,056.58	$3,690.00
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 $552.63 / $885.17 / $1,308.27	Professional		$552.63	$885.17	$1,308.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $532.34 / $970.43 / $12,028.17	Facility		$532.34	$970.43	$12,028.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $532.98 / $948.97 / $4,564.68	Professional		$532.98	$948.97	$4,564.68
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 $629.46 / $828.79 / $866.31	Facility		$629.46	$828.79	$866.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $571.23 / $590.90 / $2,429.53	Facility		$571.23	$590.90	$2,429.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.23 / $983.48 / $1,211.93	Professional		$608.23	$983.48	$1,211.93
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 $582.58 / $846.67 / $1,144.95	Professional		$582.58	$846.67	$1,144.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $4,686.00 / $20,708.00	Facility		$3,028.00	$4,686.00	$20,708.00
United Facility/Professional Professional Modifier Low / Median / High Price $544.28 / $846.62 / $1,229.07	Professional		$544.28	$846.62	$1,229.07