Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.00 / $7,920.26 / $22,024.00	Facility		$1,125.00	$7,920.26	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $628.04 / $1,090.66 / $2,072.25	Professional		$628.04	$1,090.66	$2,072.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,462.03 / $10,956.90 / $24,231.69	Facility		$1,462.03	$10,956.90	$24,231.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $994.44 / $1,791.07 / $6,116.85	Professional		$994.44	$1,791.07	$6,116.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,031.00 / $3,759.09	Facility		$1,031.00	$1,031.00	$3,759.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $719.10 / $1,154.70 / $2,228.92	Professional		$719.10	$1,154.70	$2,228.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $875.96 / $1,646.87 / $3,376.68	Facility		$875.96	$1,646.87	$3,376.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $875.96 / $1,632.45 / $2,787.60	Professional		$875.96	$1,632.45	$2,787.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $420.53 / $1,452.65	Professional		$78.68	$420.53	$1,452.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $993.71 / $1,374.17 / $1,446.53	Facility		$993.71	$1,374.17	$1,446.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $953.11 / $953.11 / $1,095.23	Facility		$953.11	$953.11	$1,095.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,013.24 / $1,623.76 / $1,953.89	Professional		$1,013.24	$1,623.76	$1,953.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,105.06 / $10,950.64 / $20,959.32	Facility		$7,105.06	$10,950.64	$20,959.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $972.05 / $1,416.04 / $1,907.37	Professional		$972.05	$1,416.04	$1,907.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $2,155.00 / $11,941.00	Facility		$1,620.00	$2,155.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $826.10 / $1,125.86 / $2,025.93	Professional		$826.10	$1,125.86	$2,025.93