Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $653.67 / $4,500.00 / $19,900.00	Facility		$653.67	$4,500.00	$19,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.95 / $1,384.63 / $3,709.98	Professional		$344.95	$1,384.63	$3,709.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,592.11 / $13,249.10 / $26,963.11	Facility		$1,592.11	$13,249.10	$26,963.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $644.50 / $3,174.00 / $14,199.49	Professional		$644.50	$3,174.00	$14,199.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,849.20 / $1,849.20 / $3,080.74	Facility		$1,849.20	$1,849.20	$3,080.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $547.04 / $1,167.80 / $5,093.54	Professional		$547.04	$1,167.80	$5,093.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $527.55 / $2,264.59 / $5,008.85	Facility		$527.55	$2,264.59	$5,008.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $520.91 / $1,947.60 / $4,706.72	Professional		$520.91	$1,947.60	$4,706.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $247.59 / $1,861.63 / $3,736.30	Professional		$247.59	$1,861.63	$3,736.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $712.21 / $3,131.92 / $3,670.26	Facility		$712.21	$3,131.92	$3,670.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,592.11 / $2,279.96 / $2,362.85	Facility		$1,592.11	$2,279.96	$2,362.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $610.91 / $1,181.95 / $4,410.79	Professional		$610.91	$1,181.95	$4,410.79
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 $571.89 / $1,701.96 / $3,861.49	Professional		$571.89	$1,701.96	$3,861.49
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 $2,289.76 / $3,594.61 / $5,151.95	Professional		$2,289.76	$3,594.61	$5,151.95