Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,022.70 / $1,994.36 / $17,100.00	Facility		$1,022.70	$1,994.36	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.68 / $803.44 / $1,327.87	Professional		$486.68	$803.44	$1,327.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,025.05 / $6,622.22 / $14,645.34	Facility		$1,025.05	$6,622.22	$14,645.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $956.07 / $1,588.27 / $5,589.52	Professional		$956.07	$1,588.27	$5,589.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.00 / $642.00 / $2,430.19	Facility		$642.00	$642.00	$2,430.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.04 / $1,058.36 / $2,154.87	Professional		$588.04	$1,058.36	$2,154.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $689.40 / $1,159.33 / $2,043.70	Facility		$689.40	$1,159.33	$2,043.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $695.14 / $1,175.29 / $1,948.76	Professional		$695.14	$1,175.29	$1,948.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $398.88 / $1,459.14	Professional		$78.79	$398.88	$1,459.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $948.00 / $1,399.80 / $1,502.81	Facility		$948.00	$1,399.80	$1,502.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $925.25 / $1,005.66 / $1,025.05	Facility		$925.25	$1,005.66	$1,025.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $901.92 / $1,348.27 / $1,879.69	Professional		$901.92	$1,348.27	$1,879.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,294.21 / $6,618.43 / $12,667.56	Facility		$4,294.21	$6,618.43	$12,667.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $743.82 / $1,284.32 / $1,850.03	Professional		$743.82	$1,284.32	$1,850.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,862.00 / $10,522.00	Facility		$1,224.00	$1,862.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $897.12 / $1,217.51 / $2,123.25	Professional		$897.12	$1,217.51	$2,123.25