Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.66 / $5,128.00 / $18,711.00	Facility		$816.66	$5,128.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.07 / $1,846.16 / $3,895.46	Professional		$413.07	$1,846.16	$3,895.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,031.87 / $10,800.05 / $22,040.55	Facility		$2,031.87	$10,800.05	$22,040.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $802.62 / $4,011.29 / $15,666.40	Professional		$802.62	$4,011.29	$15,666.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $7,060.88	Facility		$734.00	$734.00	$7,060.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.19 / $1,665.41 / $5,726.12	Professional		$513.19	$1,665.41	$5,726.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $536.50 / $3,042.84 / $6,192.16	Facility		$536.50	$3,042.84	$6,192.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $536.50 / $3,026.88 / $5,970.41	Professional		$536.50	$3,026.88	$5,970.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $230.38 / $1,140.14 / $4,026.16	Professional		$230.38	$1,140.14	$4,026.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $838.17 / $4,005.93 / $4,519.14	Facility		$838.17	$4,005.93	$4,519.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,031.87 / $2,978.48 / $2,978.48	Facility		$2,031.87	$2,978.48	$2,978.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $722.58 / $1,468.82 / $5,529.49	Professional		$722.58	$1,468.82	$5,529.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,407.53 / $11,522.14 / $22,040.55	Facility		$8,407.53	$11,522.14	$22,040.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $591.82 / $2,778.86 / $5,365.12	Professional		$591.82	$2,778.86	$5,365.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,263.00 / $2,912.00 / $16,315.00	Facility		$2,263.00	$2,912.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,771.20 / $3,642.30 / $6,352.44	Professional		$2,771.20	$3,642.30	$6,352.44