Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.72 / $4,500.00 / $18,800.00	Facility		$721.72	$4,500.00	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $536.58 / $721.72 / $1,441.39	Professional		$536.58	$721.72	$1,441.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,363.09 / $9,044.98 / $22,922.83	Facility		$5,363.09	$9,044.98	$22,922.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $859.13 / $1,521.22 / $5,366.18	Professional		$859.13	$1,521.22	$5,366.18
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 $689.90 / $1,251.49 / $1,876.48	Professional		$689.90	$1,251.49	$1,876.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $713.37 / $1,199.03 / $7,931.04	Facility		$713.37	$1,199.03	$7,931.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $740.11 / $1,184.00 / $2,671.90	Professional		$740.11	$1,184.00	$2,671.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.06 / $649.55 / $1,363.94	Professional		$98.06	$649.55	$1,363.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $795.76 / $1,078.70 / $1,242.84	Facility		$795.76	$1,078.70	$1,242.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.26 / $847.74 / $1,367.95	Facility		$831.26	$847.74	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $872.59 / $1,401.05 / $1,738.69	Professional		$872.59	$1,401.05	$1,738.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,464.82 / $8,854.69 / $16,947.71	Facility		$6,464.82	$8,854.69	$16,947.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $847.77 / $1,217.59 / $1,642.60	Professional		$847.77	$1,217.59	$1,642.60
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 $716.10 / $1,203.27 / $1,775.57	Professional		$716.10	$1,203.27	$1,775.57