Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,305.94 / $4,500.00 / $18,800.00	Facility		$1,305.94	$4,500.00	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $591.83 / $947.11 / $1,817.57	Professional		$591.83	$947.11	$1,817.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,396.45 / $9,124.02 / $23,606.56	Facility		$5,396.45	$9,124.02	$23,606.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $992.64 / $1,733.81 / $6,041.93	Professional		$992.64	$1,733.81	$6,041.93
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 $837.45 / $1,469.50 / $2,143.69	Professional		$837.45	$1,469.50	$2,143.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $884.52 / $1,499.41 / $6,447.65	Facility		$884.52	$1,499.41	$6,447.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $908.59 / $1,436.34 / $2,225.36	Professional		$908.59	$1,436.34	$2,225.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $265.74 / $1,519.56	Professional		$74.23	$265.74	$1,519.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $957.37 / $1,307.17 / $1,411.68	Facility		$957.37	$1,307.17	$1,411.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $940.43 / $956.96 / $1,140.42	Facility		$940.43	$956.96	$1,140.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,009.54 / $1,596.26 / $1,962.71	Professional		$1,009.54	$1,596.26	$1,962.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,812.14 / $9,118.81 / $17,453.22	Facility		$6,812.14	$9,118.81	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $959.11 / $1,376.60 / $1,854.24	Professional		$959.11	$1,376.60	$1,854.24
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 $858.44 / $1,371.42 / $2,023.70	Professional		$858.44	$1,371.42	$2,023.70