Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.52 / $1,528.84 / $18,711.00	Facility		$846.52	$1,528.84	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.00 / $694.23 / $1,539.02	Professional		$415.00	$694.23	$1,539.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,462.03 / $10,956.90 / $24,231.69	Facility		$1,462.03	$10,956.90	$24,231.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $783.70 / $1,270.51 / $4,394.96	Professional		$783.70	$1,270.51	$4,394.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.00 / $906.00 / $3,759.09	Facility		$906.00	$906.00	$3,759.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.71 / $865.27 / $1,678.72	Professional		$508.71	$865.27	$1,678.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $556.78 / $1,044.30 / $2,787.60	Facility		$556.78	$1,044.30	$2,787.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $559.16 / $1,045.66 / $1,942.10	Professional		$559.16	$1,045.66	$1,942.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.76 / $302.43 / $1,141.04	Professional		$76.76	$302.43	$1,141.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $751.06 / $1,085.39 / $1,179.20	Facility		$751.06	$1,085.39	$1,179.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $782.78 / $782.78 / $989.90	Facility		$782.78	$782.78	$989.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $750.11 / $1,075.71 / $1,506.29	Professional		$750.11	$1,075.71	$1,506.29
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 $618.62 / $1,061.48 / $1,494.72	Professional		$618.62	$1,061.48	$1,494.72
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 $658.90 / $874.86 / $1,593.66	Professional		$658.90	$874.86	$1,593.66