Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.63 / $2,845.27 / $18,711.00	Facility		$915.63	$2,845.27	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.61 / $603.98 / $1,124.92	Professional		$453.61	$603.98	$1,124.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,434.01 / $6,858.44 / $12,632.68	Facility		$1,434.01	$6,858.44	$12,632.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $846.72 / $1,439.46 / $5,127.00	Professional		$846.72	$1,439.46	$5,127.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.00 / $479.00 / $2,876.24	Facility		$479.00	$479.00	$2,876.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.57 / $954.40 / $1,883.09	Professional		$604.57	$954.40	$1,883.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $703.22 / $1,339.88 / $2,522.36	Facility		$703.22	$1,339.88	$2,522.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $703.22 / $1,283.71 / $2,132.91	Professional		$703.22	$1,283.71	$2,132.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $315.69 / $1,158.41	Professional		$75.97	$315.69	$1,158.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $796.52 / $1,114.99 / $1,206.00	Facility		$796.52	$1,114.99	$1,206.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $799.09 / $799.09 / $1,126.18	Facility		$799.09	$799.09	$1,126.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.72 / $1,359.73 / $1,632.78	Professional		$846.72	$1,359.73	$1,632.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,044.41 / $6,729.88 / $12,632.68	Facility		$5,044.41	$6,729.88	$12,632.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $814.97 / $1,183.32 / $1,558.80	Professional		$814.97	$1,183.32	$1,558.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $2,023.72 / $5,519.00	Facility		$1,224.00	$2,023.72	$5,519.00
United Facility/Professional Professional Modifier Low / Median / High Price $682.38 / $887.75 / $1,655.32	Professional		$682.38	$887.75	$1,655.32