Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.79 / $11,333.92 / $27,982.24	Facility		$1,194.79	$11,333.92	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $568.46 / $800.13 / $1,194.79	Professional		$568.46	$800.13	$1,194.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $814.49 / $37,297.19 / $71,345.31	Facility		$814.49	$37,297.19	$71,345.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $912.58 / $1,528.58 / $5,577.60	Professional		$912.58	$1,528.58	$5,577.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,028.18 / $15,028.18 / $25,036.77	Facility		$15,028.18	$15,028.18	$25,036.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $775.64 / $1,323.46 / $1,965.95	Professional		$775.64	$1,323.46	$1,965.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $814.43 / $1,479.57 / $45,965.51	Facility		$814.43	$1,479.57	$45,965.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $814.43 / $1,429.50 / $16,868.62	Professional		$814.43	$1,429.50	$16,868.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $727.67 / $1,335.34	Professional		$99.37	$727.67	$1,335.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $852.27 / $1,222.64 / $1,299.80	Facility		$852.27	$1,222.64	$1,299.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.49 / $886.58 / $8,056.16	Facility		$814.49	$886.58	$8,056.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.58 / $1,469.30 / $1,818.36	Professional		$912.58	$1,469.30	$1,818.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,489.22 / $37,297.19 / $71,345.31	Facility		$28,489.22	$37,297.19	$71,345.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $830.68 / $1,275.35 / $1,717.87	Professional		$830.68	$1,275.35	$1,717.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $4,686.00 / $20,708.00	Facility		$3,028.00	$4,686.00	$20,708.00
United Facility/Professional Professional Modifier Low / Median / High Price $791.12 / $1,263.45 / $1,864.38	Professional		$791.12	$1,263.45	$1,864.38