Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,014.49 / $12,626.00 / $23,856.49	Facility		$1,014.49	$12,626.00	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $518.60 / $736.20 / $1,119.00	Professional		$518.60	$736.20	$1,119.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $953.11 / $11,266.46 / $22,040.55	Facility		$953.11	$11,266.46	$22,040.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $986.66 / $1,765.89 / $6,301.13	Professional		$986.66	$1,765.89	$6,301.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $4,960.67	Facility		$734.00	$734.00	$4,960.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $717.24 / $1,423.63 / $2,240.67	Professional		$717.24	$1,423.63	$2,240.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $861.08 / $1,638.56 / $4,350.34	Facility		$861.08	$1,638.56	$4,350.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $861.08 / $1,619.41 / $3,678.65	Professional		$861.08	$1,619.41	$3,678.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $512.44 / $805.27	Professional		$73.20	$512.44	$805.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $562.16 / $695.47 / $732.07	Facility		$562.16	$695.47	$732.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $953.11 / $953.11 / $2,645.21	Facility		$953.11	$953.11	$2,645.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,015.59 / $1,625.28 / $1,958.43	Professional		$1,015.59	$1,625.28	$1,958.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,801.11 / $11,522.14 / $22,040.55	Facility		$8,801.11	$11,522.14	$22,040.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $972.05 / $1,414.25 / $1,911.79	Professional		$972.05	$1,414.25	$1,911.79
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 $860.46 / $1,082.27 / $1,969.45	Professional		$860.46	$1,082.27	$1,969.45