Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $864.89 / $1,541.61 / $17,930.00	Facility		$864.89	$1,541.61	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.86 / $766.65 / $1,535.33	Professional		$444.86	$766.65	$1,535.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,329.76 / $9,124.02 / $23,606.56	Facility		$3,329.76	$9,124.02	$23,606.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $790.49 / $1,334.40 / $4,851.43	Professional		$790.49	$1,334.40	$4,851.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,982.56 / $1,982.56 / $3,302.92	Facility		$1,982.56	$1,982.56	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $706.13 / $1,220.94 / $1,982.50	Professional		$706.13	$1,220.94	$1,982.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $650.90 / $1,141.11 / $2,793.98	Facility		$650.90	$1,141.11	$2,793.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $657.34 / $1,096.81 / $2,053.87	Professional		$657.34	$1,096.81	$2,053.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.54 / $1,045.98 / $1,697.93	Professional		$162.54	$1,045.98	$1,697.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $779.48 / $1,182.55 / $1,370.92	Facility		$779.48	$1,182.55	$1,370.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.37 / $898.46 / $1,140.42	Facility		$878.37	$898.46	$1,140.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $817.22 / $1,173.51 / $1,646.92	Professional		$817.22	$1,173.51	$1,646.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $757.67 / $1,080.01 / $1,521.68	Professional		$757.67	$1,080.01	$1,521.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $741.30 / $1,283.08 / $1,893.35	Professional		$741.30	$1,283.08	$1,893.35