Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,248.76 / $6,470.00 / $27,982.24	Facility		$1,248.76	$6,470.00	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $922.13 / $1,475.14 / $2,951.58	Professional		$922.13	$1,475.14	$2,951.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $12,546.63 / $21,160.20 / $38,781.51	Facility		$12,546.63	$21,160.20	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $896.28 / $1,497.38 / $7,713.27	Professional		$896.28	$1,497.38	$7,713.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,591.46 / $7,591.46 / $12,647.29	Facility		$7,591.46	$7,591.46	$12,647.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,015.07 / $1,460.99 / $1,953.50	Professional		$1,015.07	$1,460.99	$1,953.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,308.55 / $2,356.90 / $19,857.63	Facility		$1,308.55	$2,356.90	$19,857.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,302.43 / $2,239.05 / $8,521.16	Professional		$1,302.43	$2,239.05	$8,521.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.02 / $643.61 / $1,295.34	Professional		$98.02	$643.61	$1,295.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $928.11 / $1,492.24 / $2,229.71	Facility		$928.11	$1,492.24	$2,229.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $772.79 / $878.82 / $4,903.18	Facility		$772.79	$878.82	$4,903.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $821.30 / $1,308.83 / $1,605.05	Professional		$821.30	$1,308.83	$1,605.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,486.02 / $20,660.30 / $38,781.51	Facility		$15,486.02	$20,660.30	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $896.28 / $1,111.66 / $1,725.68	Professional		$896.28	$1,111.66	$1,725.68
United Facility/Professional Facility Modifier Low / Median / High Price $3,478.00 / $6,361.01 / $16,315.00	Facility		$3,478.00	$6,361.01	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,186.68 / $1,598.85 / $2,755.75	Professional		$1,186.68	$1,598.85	$2,755.75