Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.82 / $2,812.16 / $18,711.00	Facility		$847.82	$2,812.16	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.97 / $847.82 / $1,594.60	Professional		$448.97	$847.82	$1,594.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,126.18 / $6,603.99 / $12,632.68	Facility		$1,126.18	$6,603.99	$12,632.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $767.97 / $1,373.61 / $4,744.43	Professional		$767.97	$1,373.61	$4,744.43
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 $536.19 / $876.91 / $1,748.97	Professional		$536.19	$876.91	$1,748.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $631.54 / $1,249.05 / $2,522.36	Facility		$631.54	$1,249.05	$2,522.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $631.54 / $1,247.84 / $2,132.91	Professional		$631.54	$1,247.84	$2,132.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $299.58 / $1,062.47	Professional		$75.97	$299.58	$1,062.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $730.63 / $1,010.36 / $1,114.21	Facility		$730.63	$1,010.36	$1,114.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $735.67 / $735.67 / $786.25	Facility		$735.67	$735.67	$786.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $782.28 / $1,253.96 / $1,508.51	Professional		$782.28	$1,253.96	$1,508.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,282.39 / $6,600.21 / $12,632.68	Facility		$4,282.39	$6,600.21	$12,632.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $750.29 / $1,093.26 / $1,472.59	Professional		$750.29	$1,093.26	$1,472.59
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 $608.95 / $815.14 / $1,502.48	Professional		$608.95	$815.14	$1,502.48