Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.00 / $7,489.85 / $18,800.00	Facility		$801.00	$7,489.85	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.06 / $738.93 / $1,403.97	Professional		$430.06	$738.93	$1,403.97
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 $674.50 / $1,218.56 / $4,133.25	Professional		$674.50	$1,218.56	$4,133.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $3,759.09	Facility		$734.00	$734.00	$3,759.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.32 / $780.75 / $1,507.63	Professional		$490.32	$780.75	$1,507.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $595.00 / $1,193.82 / $3,376.68	Facility		$595.00	$1,193.82	$3,376.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $595.00 / $1,168.88 / $2,787.60	Professional		$595.00	$1,168.88	$2,787.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.69 / $465.00 / $998.09	Professional		$81.69	$465.00	$998.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $679.20 / $934.65 / $980.88	Facility		$679.20	$934.65	$980.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $643.26 / $643.26 / $926.36	Facility		$643.26	$643.26	$926.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $684.43 / $1,097.22 / $1,319.83	Professional		$684.43	$1,097.22	$1,319.83
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 $656.04 / $956.52 / $1,288.40	Professional		$656.04	$956.52	$1,288.40
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 $565.99 / $792.31 / $1,369.89	Professional		$565.99	$792.31	$1,369.89