Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.92 / $5,128.00 / $20,680.40	Facility		$1,088.92	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.45 / $693.06 / $1,451.96	Professional		$515.45	$693.06	$1,451.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,791.87 / $14,095.51 / $26,963.11	Facility		$8,791.87	$14,095.51	$26,963.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $835.90 / $1,469.10 / $5,130.08	Professional		$835.90	$1,469.10	$5,130.08
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 $688.05 / $1,225.32 / $1,790.92	Professional		$688.05	$1,225.32	$1,790.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $721.11 / $1,276.63 / $11,411.87	Facility		$721.11	$1,276.63	$11,411.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $737.52 / $1,203.36 / $3,551.73	Professional		$737.52	$1,203.36	$3,551.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.06 / $645.60 / $1,329.96	Professional		$98.06	$645.60	$1,329.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $823.09 / $1,088.69 / $1,190.58	Facility		$823.09	$1,088.69	$1,190.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $795.47 / $812.09 / $1,964.09	Facility		$795.47	$812.09	$1,964.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $835.90 / $1,354.61 / $1,665.58	Professional		$835.90	$1,354.61	$1,665.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,911.79 / $14,087.45 / $26,963.11	Facility		$9,911.79	$14,087.45	$26,963.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $811.27 / $1,168.20 / $1,573.53	Professional		$811.27	$1,168.20	$1,573.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00
United Facility/Professional Professional Modifier Low / Median / High Price $739.65 / $1,278.46 / $1,708.93	Professional		$739.65	$1,278.46	$1,708.93