Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.44 / $4,132.83 / $18,711.00	Facility		$848.44	$4,132.83	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.69 / $1,370.84 / $3,704.75	Professional		$437.69	$1,370.84	$3,704.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,916.79 / $14,095.51 / $26,963.11	Facility		$2,916.79	$14,095.51	$26,963.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $838.70 / $3,121.28 / $12,212.32	Professional		$838.70	$3,121.28	$12,212.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,010.53 / $4,010.53 / $6,681.49	Facility		$4,010.53	$4,010.53	$6,681.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $694.36 / $1,543.92 / $5,070.09	Professional		$694.36	$1,543.92	$5,070.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $662.72 / $2,733.17 / $5,587.50	Facility		$662.72	$2,733.17	$5,587.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $659.41 / $2,253.13 / $4,911.21	Professional		$659.41	$2,253.13	$4,911.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $279.49 / $1,743.20 / $3,574.14	Professional		$279.49	$1,743.20	$3,574.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $825.44 / $3,098.35 / $3,640.11	Facility		$825.44	$3,098.35	$3,640.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,271.75 / $2,349.71 / $2,556.98	Facility		$2,271.75	$2,349.71	$2,556.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $795.38 / $1,538.87 / $4,390.89	Professional		$795.38	$1,538.87	$4,390.89
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 $742.05 / $2,036.93 / $3,847.55	Professional		$742.05	$2,036.93	$3,847.55
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 $2,272.61 / $3,578.40 / $5,113.35	Professional		$2,272.61	$3,578.40	$5,113.35