Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $834.95 / $4,414.79 / $18,711.00	Facility		$834.95	$4,414.79	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.51 / $834.95 / $1,608.59	Professional		$622.51	$834.95	$1,608.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $890.60 / $17,744.22 / $36,111.08	Facility		$890.60	$17,744.22	$36,111.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,029.71 / $1,724.10 / $6,282.45	Professional		$1,029.71	$1,724.10	$6,282.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,392.67 / $4,392.67 / $7,318.13	Facility		$4,392.67	$4,392.67	$7,318.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $846.73 / $1,471.52 / $2,209.51	Professional		$846.73	$1,471.52	$2,209.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $888.22 / $1,613.62 / $21,257.42	Facility		$888.22	$1,613.62	$21,257.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $888.22 / $1,559.02 / $4,930.63	Professional		$888.22	$1,559.02	$4,930.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.87 / $262.62 / $1,446.27	Professional		$80.87	$262.62	$1,446.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $963.16 / $1,359.33 / $1,466.63	Facility		$963.16	$1,359.33	$1,466.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $890.60 / $1,000.37 / $2,568.11	Facility		$890.60	$1,000.37	$2,568.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,029.71 / $1,657.24 / $2,051.75	Professional		$1,029.71	$1,657.24	$2,051.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,774.83 / $18,877.79 / $36,111.08	Facility		$13,774.83	$18,877.79	$36,111.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $908.29 / $1,439.05 / $1,938.36	Professional		$908.29	$1,439.05	$1,938.36
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $4,686.00 / $20,708.00	Facility		$3,028.00	$4,686.00	$20,708.00
United Facility/Professional Professional Modifier Low / Median / High Price $884.70 / $1,535.70 / $2,102.85	Professional		$884.70	$1,535.70	$2,102.85