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 $383.32 / $517.00 / $1,060.94	Professional		$383.32	$517.00	$1,060.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,089.03 / $9,044.98 / $22,922.83	Facility		$5,089.03	$9,044.98	$22,922.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $611.22 / $1,028.85 / $4,307.72	Professional		$611.22	$1,028.85	$4,307.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,380.38 / $2,380.38 / $3,965.68	Facility		$2,380.38	$2,380.38	$3,965.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.45 / $914.72 / $1,337.82	Professional		$517.45	$914.72	$1,337.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $540.51 / $921.17 / $5,198.37	Facility		$540.51	$921.17	$5,198.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $550.62 / $866.72 / $2,671.90	Professional		$550.62	$866.72	$2,671.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.23 / $496.13 / $1,001.35	Professional		$83.23	$496.13	$1,001.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $623.03 / $809.20 / $887.75	Facility		$623.03	$809.20	$887.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $592.07 / $605.53 / $1,367.95	Facility		$592.07	$605.53	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $623.28 / $1,007.03 / $1,241.92	Professional		$623.28	$1,007.03	$1,241.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,745.15 / $8,854.69 / $16,947.71	Facility		$5,745.15	$8,854.69	$16,947.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $603.83 / $871.06 / $1,173.29	Professional		$603.83	$871.06	$1,173.29
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 $543.24 / $807.98 / $1,253.04	Professional		$543.24	$807.98	$1,253.04