Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.00 / $6,259.76 / $18,711.00	Facility		$699.00	$6,259.76	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.11 / $550.00 / $888.85	Professional		$390.11	$550.00	$888.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $554.47 / $8,957.00 / $17,546.59	Facility		$554.47	$8,957.00	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $667.78 / $1,128.77 / $4,142.33	Professional		$667.78	$1,128.77	$4,142.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,245.17 / $2,245.17 / $3,740.43	Facility		$2,245.17	$2,245.17	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.26 / $974.12 / $1,462.66	Professional		$546.26	$974.12	$1,462.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $555.25 / $1,008.72 / $10,556.82	Facility		$555.25	$1,008.72	$10,556.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $555.25 / $974.59 / $2,520.12	Professional		$555.25	$974.59	$2,520.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $414.58 / $1,012.51	Professional		$83.18	$414.58	$1,012.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $630.97 / $933.93 / $964.13	Facility		$630.97	$933.93	$964.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $554.47 / $657.62 / $1,399.79	Facility		$554.47	$657.62	$1,399.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.91 / $1,090.36 / $1,348.77	Professional		$676.91	$1,090.36	$1,348.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,172.83 / $17,546.59	Facility		$6,693.27	$9,172.83	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $565.49 / $946.00 / $1,274.23	Professional		$565.49	$946.00	$1,274.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.79 / $942.48 / $1,383.55	Professional		$550.79	$942.48	$1,383.55