Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $845.53 / $1,607.13 / $18,711.00	Facility		$845.53	$1,607.13	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.20 / $694.12 / $1,569.00	Professional		$421.20	$694.12	$1,569.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,126.18 / $6,603.99 / $14,605.02	Facility		$1,126.18	$6,603.99	$14,605.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $831.52 / $1,338.66 / $4,639.43	Professional		$831.52	$1,338.66	$4,639.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.00 / $906.00 / $2,876.24	Facility		$906.00	$906.00	$2,876.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.44 / $872.11 / $1,790.98	Professional		$510.44	$872.11	$1,790.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $570.65 / $1,071.40 / $2,120.86	Facility		$570.65	$1,071.40	$2,120.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.75 / $1,071.40 / $1,702.83	Professional		$575.75	$1,071.40	$1,702.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $326.72 / $1,225.28	Professional		$77.42	$326.72	$1,225.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $755.16 / $1,142.46 / $1,247.54	Facility		$755.16	$1,142.46	$1,247.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $832.16 / $832.16 / $989.90	Facility		$832.16	$832.16	$989.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $743.39 / $1,115.70 / $1,559.80	Professional		$743.39	$1,115.70	$1,559.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,818.83 / $6,600.21 / $12,632.68	Facility		$4,818.83	$6,600.21	$12,632.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $613.07 / $1,063.03 / $1,554.88	Professional		$613.07	$1,063.03	$1,554.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $2,023.72 / $5,519.00	Facility		$1,224.00	$2,023.72	$5,519.00
United Facility/Professional Professional Modifier Low / Median / High Price $733.31 / $946.34 / $1,725.48	Professional		$733.31	$946.34	$1,725.48