Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,038.69 / $5,116.62 / $18,800.00	Facility		$1,038.69	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.86 / $661.03 / $1,377.74	Professional		$494.86	$661.03	$1,377.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $13,212.14 / $26,963.11	Facility		$2,000.00	$13,212.14	$26,963.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $800.83 / $1,327.04 / $5,263.72	Professional		$800.83	$1,327.04	$5,263.72
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 $669.96 / $1,178.63 / $1,723.02	Professional		$669.96	$1,178.63	$1,723.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $663.92 / $1,259.45 / $8,968.34	Facility		$663.92	$1,259.45	$8,968.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $703.29 / $1,164.78 / $3,551.73	Professional		$703.29	$1,164.78	$3,551.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.06 / $643.61 / $1,296.01	Professional		$98.06	$643.61	$1,296.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $785.47 / $1,021.75 / $1,145.03	Facility		$785.47	$1,021.75	$1,145.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.21 / $781.01 / $1,964.09	Facility		$764.21	$781.01	$1,964.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $803.91 / $1,295.05 / $1,601.85	Professional		$803.91	$1,295.05	$1,601.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,140.29 / $14,087.45 / $26,963.11	Facility		$9,140.29	$14,087.45	$26,963.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $779.39 / $1,123.50 / $1,513.32	Professional		$779.39	$1,123.50	$1,513.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $686.69 / $1,007.15 / $1,643.28	Professional		$686.69	$1,007.15	$1,643.28