Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $907.02 / $5,116.62 / $18,800.00	Facility		$907.02	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.74 / $580.11 / $1,203.09	Professional		$434.74	$580.11	$1,203.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $20,072.32 / $40,963.26	Facility		$2,000.00	$20,072.32	$40,963.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $680.73 / $1,157.13 / $5,058.97	Professional		$680.73	$1,157.13	$5,058.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,437.81 / $4,437.81 / $7,393.34	Facility		$4,437.81	$4,437.81	$7,393.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $574.87 / $1,023.81 / $1,509.42	Professional		$574.87	$1,023.81	$1,509.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $571.90 / $1,090.32 / $11,411.87	Facility		$571.90	$1,090.32	$11,411.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $605.80 / $1,020.14 / $4,981.28	Professional		$605.80	$1,020.14	$4,981.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.09 / $583.04 / $1,141.75	Professional		$94.09	$583.04	$1,141.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $647.29 / $891.10 / $996.96	Facility		$647.29	$891.10	$996.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.93 / $680.02 / $2,928.53	Facility		$660.93	$680.02	$2,928.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.96 / $1,124.76 / $1,394.70	Professional		$699.96	$1,124.76	$1,394.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,886.25 / $21,402.13 / $40,963.26	Facility		$13,886.25	$21,402.13	$40,963.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $674.06 / $972.62 / $1,317.62	Professional		$674.06	$972.62	$1,317.62
United Facility/Professional Facility Modifier Low / Median / High Price $10,312.00 / $26,448.13 / $42,304.40	Facility		$10,312.00	$26,448.13	$42,304.40
United Facility/Professional Professional Modifier Low / Median / High Price $590.95 / $961.16 / $1,418.31	Professional		$590.95	$961.16	$1,418.31