Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.57 / $4,685.97 / $17,930.00	Facility		$286.57	$4,685.97	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.28 / $3,079.70 / $5,817.36	Professional		$166.28	$3,079.70	$5,817.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,144.02 / $13,783.02 / $28,049.69	Facility		$1,144.02	$13,783.02	$28,049.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $284.73 / $5,214.60 / $20,949.68	Professional		$284.73	$5,214.60	$20,949.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,550.18 / $5,550.18 / $9,246.54	Facility		$5,550.18	$5,550.18	$9,246.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.89 / $558.29 / $8,793.96	Professional		$262.89	$558.29	$8,793.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $261.05 / $4,582.08 / $10,049.51	Facility		$261.05	$4,582.08	$10,049.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.05 / $4,530.99 / $9,595.06	Professional		$261.05	$4,530.99	$9,595.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $710.56 / $4,510.10 / $7,424.67	Professional		$710.56	$4,510.10	$7,424.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $326.29 / $5,399.16 / $6,165.97	Facility		$326.29	$5,399.16	$6,165.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,094.12 / $3,894.55 / $4,026.26	Facility		$3,094.12	$3,894.55	$4,026.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.88 / $541.50 / $7,531.57	Professional		$279.88	$541.50	$7,531.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,699.75 / $14,655.16 / $28,049.69	Facility		$10,699.75	$14,655.16	$28,049.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $260.10 / $3,006.92 / $6,596.03	Professional		$260.10	$3,006.92	$6,596.03
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 $3,831.96 / $6,137.90 / $8,491.27	Professional		$3,831.96	$6,137.90	$8,491.27