Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.85 / $5,128.00 / $20,680.40	Facility		$1,017.85	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.53 / $649.52 / $1,356.88	Professional		$482.53	$649.52	$1,356.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,682.09 / $14,095.51 / $26,963.11	Facility		$7,682.09	$14,095.51	$26,963.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $782.75 / $1,371.99 / $5,060.51	Professional		$782.75	$1,371.99	$5,060.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,164.22 / $3,164.22 / $5,271.55	Facility		$3,164.22	$3,164.22	$5,271.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $662.63 / $1,145.33 / $1,677.68	Professional		$662.63	$1,145.33	$1,677.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $679.40 / $1,214.05 / $7,931.04	Facility		$679.40	$1,214.05	$7,931.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $689.22 / $1,138.00 / $3,551.73	Professional		$689.22	$1,138.00	$3,551.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.88 / $601.66 / $1,211.05	Professional		$94.88	$601.66	$1,211.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $851.94 / $1,021.96 / $1,204.66	Facility		$851.94	$1,021.96	$1,204.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $743.83 / $760.45 / $1,964.09	Facility		$743.83	$760.45	$1,964.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $782.75 / $1,268.47 / $1,559.67	Professional		$782.75	$1,268.47	$1,559.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,791.87 / $14,087.45 / $26,963.11	Facility		$8,791.87	$14,087.45	$26,963.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $758.60 / $1,093.92 / $1,473.47	Professional		$758.60	$1,093.92	$1,473.47
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 $689.92 / $1,134.26 / $1,595.99	Professional		$689.92	$1,134.26	$1,595.99