Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.00 / $5,116.62 / $18,800.00	Facility		$801.00	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.14 / $511.49 / $1,043.15	Professional		$366.14	$511.49	$1,043.15
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 $611.62 / $1,080.66 / $3,786.90	Professional		$611.62	$1,080.66	$3,786.90
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 $493.63 / $903.67 / $1,323.91	Professional		$493.63	$903.67	$1,323.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $523.30 / $907.82 / $7,931.04	Facility		$523.30	$907.82	$7,931.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $543.90 / $853.55 / $3,551.73	Professional		$543.90	$853.55	$3,551.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $488.75 / $975.27	Professional		$81.90	$488.75	$975.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $594.37 / $790.60 / $877.70	Facility		$594.37	$790.60	$877.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $584.82 / $598.66 / $1,964.09	Facility		$584.82	$598.66	$1,964.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.22 / $994.47 / $1,227.85	Professional		$616.22	$994.47	$1,227.85
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 $596.44 / $861.19 / $1,160.00	Professional		$596.44	$861.19	$1,160.00
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 $513.76 / $851.90 / $1,257.08	Professional		$513.76	$851.90	$1,257.08