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 $535.15 / $943.35 / $1,796.28	Professional		$535.15	$943.35	$1,796.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.92 / $6,622.22 / $14,645.34	Facility		$1,071.92	$6,622.22	$14,645.34
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $859.30 / $1,530.52 / $5,446.23	Professional		$859.30	$1,530.52	$5,446.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.00 / $906.00 / $2,430.19	Facility		$906.00	$906.00	$2,430.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $626.37 / $995.92 / $1,929.74	Professional		$626.37	$995.92	$1,929.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $733.02 / $1,204.91 / $2,131.19	Facility		$733.02	$1,204.91	$2,131.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $733.02 / $1,204.91 / $1,932.18	Professional		$733.02	$1,204.91	$1,932.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $373.32 / $1,254.90	Professional		$78.68	$373.32	$1,254.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $873.67 / $1,196.61 / $1,257.58	Facility		$873.67	$1,196.61	$1,257.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.29 / $821.29 / $925.25	Facility		$821.29	$821.29	$925.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $875.41 / $1,403.10 / $1,688.11	Professional		$875.41	$1,403.10	$1,688.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,832.13 / $6,618.43 / $12,667.56	Facility		$4,832.13	$6,618.43	$12,667.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $837.61 / $1,223.42 / $1,593.55	Professional		$837.61	$1,223.42	$1,593.55
United Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $648.00 / $4,611.00	Facility		$332.00	$648.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $674.88 / $975.38 / $1,758.23	Professional		$674.88	$975.38	$1,758.23