Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,035.19 / $3,463.48 / $18,711.00	Facility		$1,035.19	$3,463.48	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $754.65 / $1,444.37	Professional		$500.00	$754.65	$1,444.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,396.45 / $9,124.02 / $17,453.22	Facility		$5,396.45	$9,124.02	$17,453.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $786.31 / $1,376.97 / $4,789.88	Professional		$786.31	$1,376.97	$4,789.88
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 $665.68 / $1,164.84 / $1,706.23	Professional		$665.68	$1,164.84	$1,706.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $700.98 / $1,180.84 / $8,266.54	Facility		$700.98	$1,180.84	$8,266.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $720.25 / $1,141.82 / $2,225.36	Professional		$720.25	$1,141.82	$2,225.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $183.16 / $1,213.00	Professional		$37.39	$183.16	$1,213.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $753.88 / $1,033.81 / $1,118.59	Facility		$753.88	$1,033.81	$1,118.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $747.90 / $758.16 / $1,140.42	Facility		$747.90	$758.16	$1,140.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $799.69 / $1,264.66 / $1,554.98	Professional		$799.69	$1,264.66	$1,554.98
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 $762.76 / $1,090.63 / $1,469.04	Professional		$762.76	$1,090.63	$1,469.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00
United Facility/Professional Professional Modifier Low / Median / High Price $678.92 / $1,080.09 / $1,601.77	Professional		$678.92	$1,080.09	$1,601.77