Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $6,470.00 / $21,917.86	Facility		$988.00	$6,470.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.16 / $985.62 / $1,878.79	Professional		$577.16	$985.62	$1,878.79
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 $897.52 / $1,527.90 / $5,606.00	Professional		$897.52	$1,527.90	$5,606.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.00 / $906.00 / $3,759.09	Facility		$906.00	$906.00	$3,759.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.04 / $1,040.26 / $2,020.38	Professional		$655.04	$1,040.26	$2,020.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $797.87 / $1,602.79 / $3,376.68	Facility		$797.87	$1,602.79	$3,376.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $797.87 / $1,567.99 / $2,787.60	Professional		$797.87	$1,567.99	$2,787.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $373.69 / $1,282.60	Professional		$78.68	$373.69	$1,282.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $914.83 / $1,251.56 / $1,315.21	Facility		$914.83	$1,251.56	$1,315.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $857.98 / $857.98 / $1,071.92	Facility		$857.98	$857.98	$1,071.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $916.34 / $1,465.49 / $1,767.03	Professional		$916.34	$1,465.49	$1,767.03
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 $875.03 / $1,280.61 / $1,885.61	Professional		$875.03	$1,280.61	$1,885.61
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 $760.54 / $1,019.31 / $1,781.75	Professional		$760.54	$1,019.31	$1,781.75