Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.91 / $3,925.18 / $18,711.00	Facility		$842.91	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.64 / $541.62 / $1,118.05	Professional		$401.64	$541.62	$1,118.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,089.03 / $9,044.98 / $16,947.71	Facility		$5,089.03	$9,044.98	$16,947.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $651.90 / $1,144.57 / $4,008.23	Professional		$651.90	$1,144.57	$4,008.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,380.38 / $2,380.38 / $3,965.68	Facility		$2,380.38	$2,380.38	$3,965.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $525.85 / $956.77 / $1,400.92	Professional		$525.85	$956.77	$1,400.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $557.28 / $959.56 / $5,198.37	Facility		$557.28	$959.56	$5,198.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.82 / $902.94 / $2,671.90	Professional		$575.82	$902.94	$2,671.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.31 / $500.89 / $1,045.14	Professional		$83.31	$500.89	$1,045.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $598.84 / $842.86 / $929.29	Facility		$598.84	$842.86	$929.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $619.25 / $633.86 / $1,367.95	Facility		$619.25	$633.86	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $652.44 / $1,054.91 / $1,300.04	Professional		$652.44	$1,054.91	$1,300.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,745.15 / $8,854.69 / $16,947.71	Facility		$5,745.15	$8,854.69	$16,947.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $631.54 / $911.81 / $1,228.19	Professional		$631.54	$911.81	$1,228.19
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 $558.61 / $906.50 / $1,331.41	Professional		$558.61	$906.50	$1,331.41