Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $994.13 / $7,920.26 / $19,900.00	Facility		$994.13	$7,920.26	$19,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.63 / $597.91 / $1,209.45	Professional		$432.63	$597.91	$1,209.45
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 $745.82 / $1,348.75 / $4,830.97	Professional		$745.82	$1,348.75	$4,830.97
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 $579.47 / $1,096.43 / $1,638.19	Professional		$579.47	$1,096.43	$1,638.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $606.29 / $1,044.66 / $5,198.37	Facility		$606.29	$1,044.66	$5,198.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $642.25 / $993.82 / $2,671.90	Professional		$642.25	$993.82	$2,671.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.96 / $322.75 / $1,101.19	Professional		$70.96	$322.75	$1,101.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $659.89 / $926.16 / $1,093.44	Facility		$659.89	$926.16	$1,093.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $727.07 / $745.82 / $1,367.95	Facility		$727.07	$745.82	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $767.69 / $1,236.46 / $1,529.67	Professional		$767.69	$1,236.46	$1,529.67
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 $741.51 / $1,072.86 / $1,445.14	Professional		$741.51	$1,072.86	$1,445.14
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 $622.50 / $1,063.24 / $1,568.95	Professional		$622.50	$1,063.24	$1,568.95