Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,065.89 / $4,500.00 / $18,711.00	Facility		$1,065.89	$4,500.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.65 / $1,065.89 / $1,871.42	Professional		$495.65	$1,065.89	$1,871.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,462.03 / $10,956.90 / $20,959.32	Facility		$1,462.03	$10,956.90	$20,959.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $967.43 / $1,743.83 / $6,009.23	Professional		$967.43	$1,743.83	$6,009.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.00 / $642.00 / $3,759.09	Facility		$642.00	$642.00	$3,759.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.23 / $1,009.57 / $2,229.23	Professional		$642.23	$1,009.57	$2,229.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $698.54 / $1,444.52 / $3,376.68	Facility		$698.54	$1,444.52	$3,376.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $698.54 / $1,442.64 / $2,787.60	Professional		$698.54	$1,442.64	$2,787.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $396.44 / $1,375.38	Professional		$78.68	$396.44	$1,375.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $793.13 / $1,135.15 / $1,406.33	Facility		$793.13	$1,135.15	$1,406.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $948.58 / $948.58 / $1,022.63	Facility		$948.58	$948.58	$1,022.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $994.65 / $1,584.75 / $1,913.38	Professional		$994.65	$1,584.75	$1,913.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,105.06 / $10,950.64 / $20,959.32	Facility		$7,105.06	$10,950.64	$20,959.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $967.43 / $1,379.88 / $1,858.66	Professional		$967.43	$1,379.88	$1,858.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $2,155.00 / $11,941.00	Facility		$1,620.00	$2,155.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $675.00 / $956.66 / $1,915.48	Professional		$675.00	$956.66	$1,915.48