Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,021.04 / $6,470.00 / $18,800.00	Facility		$1,021.04	$6,470.00	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.59 / $720.59 / $1,496.40	Professional		$546.59	$720.59	$1,496.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $925.25 / $6,622.22 / $14,645.34	Facility		$925.25	$6,622.22	$14,645.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $932.93 / $1,624.66 / $5,736.98	Professional		$932.93	$1,624.66	$5,736.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $2,430.19	Facility		$734.00	$734.00	$2,430.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $683.92 / $1,082.81 / $2,084.89	Professional		$683.92	$1,082.81	$2,084.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $835.29 / $1,226.99 / $2,131.19	Facility		$835.29	$1,226.99	$2,131.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $835.29 / $1,226.99 / $2,089.67	Professional		$835.29	$1,226.99	$2,089.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $399.90 / $1,328.31	Professional		$78.68	$399.90	$1,328.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $940.90 / $1,298.46 / $1,369.48	Facility		$940.90	$1,298.46	$1,369.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $892.86 / $892.86 / $922.68	Facility		$892.86	$892.86	$922.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $949.74 / $1,523.32 / $1,831.43	Professional		$949.74	$1,523.32	$1,831.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,294.21 / $6,618.43 / $12,667.56	Facility		$4,294.21	$6,618.43	$12,667.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $910.60 / $1,327.29 / $1,748.45	Professional		$910.60	$1,327.29	$1,748.45
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 $783.12 / $1,065.90 / $1,901.90	Professional		$783.12	$1,065.90	$1,901.90