Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,250.20 / $5,116.62 / $18,800.00	Facility		$1,250.20	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $613.73 / $906.04 / $1,823.14	Professional		$613.73	$906.04	$1,823.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,633.02 / $4,713.60 / $11,500.00	Facility		$2,633.02	$4,713.60	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $966.35 / $1,669.96 / $5,796.30	Professional		$966.35	$1,669.96	$5,796.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $934.63 / $934.63 / $1,557.08	Facility		$934.63	$934.63	$1,557.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $833.96 / $1,406.78 / $2,052.83	Professional		$833.96	$1,406.78	$2,052.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $820.36 / $1,381.54 / $3,949.61	Facility		$820.36	$1,381.54	$3,949.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $820.36 / $1,371.14 / $1,873.36	Professional		$820.36	$1,371.14	$1,873.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.07 / $769.12 / $1,479.34	Professional		$100.07	$769.12	$1,479.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $961.25 / $1,291.66 / $1,355.92	Facility		$961.25	$1,291.66	$1,355.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $541.04 / $902.83 / $919.48	Facility		$541.04	$902.83	$919.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $981.36 / $1,533.75 / $1,885.85	Professional		$981.36	$1,533.75	$1,885.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,301.18 / $4,321.81 / $8,267.12	Facility		$3,301.18	$4,321.81	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $920.77 / $1,322.69 / $1,781.63	Professional		$920.77	$1,322.69	$1,781.63
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $840.40 / $1,360.67 / $1,942.59	Professional		$840.40	$1,360.67	$1,942.59