Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.68 / $2,769.52 / $18,711.00	Facility		$825.68	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.03 / $598.99 / $1,180.03	Professional		$463.03	$598.99	$1,180.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,555.74 / $9,879.37 / $18,898.13	Facility		$5,555.74	$9,879.37	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $638.79 / $1,109.71 / $3,874.43	Professional		$638.79	$1,109.71	$3,874.43
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 $564.29 / $929.08 / $1,372.87	Professional		$564.29	$929.08	$1,372.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $559.02 / $1,035.34 / $6,254.64	Facility		$559.02	$1,035.34	$6,254.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $560.29 / $1,002.00 / $2,641.65	Professional		$560.29	$1,002.00	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.67 / $544.63 / $1,083.42	Professional		$89.67	$544.63	$1,083.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $655.76 / $874.35 / $909.86	Facility		$655.76	$874.35	$909.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $601.13 / $620.61 / $1,470.05	Facility		$601.13	$620.61	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.79 / $1,035.20 / $1,272.84	Professional		$638.79	$1,035.20	$1,272.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,660.15 / $18,898.13	Facility		$6,079.47	$9,660.15	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $613.07 / $889.24 / $1,202.51	Professional		$613.07	$889.24	$1,202.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $574.20 / $942.72 / $1,290.86	Professional		$574.20	$942.72	$1,290.86