Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,365.11 / $2,110.05 / $18,711.00	Facility		$1,365.11	$2,110.05	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.26 / $911.02 / $1,986.86	Professional		$663.26	$911.02	$1,986.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,211.51 / $6,600.21 / $12,632.68	Facility		$1,211.51	$6,600.21	$12,632.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,199.34 / $2,046.18 / $6,875.25	Professional		$1,199.34	$2,046.18	$6,875.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $1,169.93	Facility		$734.00	$734.00	$1,169.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $824.02 / $1,401.13 / $2,721.24	Professional		$824.02	$1,401.13	$2,721.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $596.86 / $1,162.50 / $2,199.34	Facility		$596.86	$1,162.50	$2,199.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $600.59 / $1,198.99 / $2,202.19	Professional		$600.59	$1,198.99	$2,202.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.38 / $506.25 / $1,726.89	Professional		$116.38	$506.25	$1,726.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,164.06 / $1,640.43 / $1,776.17	Facility		$1,164.06	$1,640.43	$1,776.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $547.66 / $1,175.99 / $1,211.51	Facility		$547.66	$1,175.99	$1,211.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,211.51 / $1,870.76 / $2,292.82	Professional		$1,211.51	$1,870.76	$2,292.82
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 $1,086.16 / $1,672.56 / $2,245.54	Professional		$1,086.16	$1,672.56	$2,245.54
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 $1,004.40 / $1,447.04 / $2,410.56	Professional		$1,004.40	$1,447.04	$2,410.56