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 $444.58 / $626.36 / $990.05	Professional		$444.58	$626.36	$990.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $634.20 / $8,957.00 / $17,546.59	Facility		$634.20	$8,957.00	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $744.67 / $1,258.74 / $4,619.39	Professional		$744.67	$1,258.74	$4,619.39
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 $604.30 / $1,085.03 / $1,629.18	Professional		$604.30	$1,085.03	$1,629.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $634.51 / $1,152.70 / $10,556.82	Facility		$634.51	$1,152.70	$10,556.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $634.51 / $1,113.70 / $2,520.12	Professional		$634.51	$1,113.70	$2,520.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $631.90 / $1,146.27	Professional		$97.30	$631.90	$1,146.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $703.86 / $1,041.10 / $1,075.34	Facility		$703.86	$1,041.10	$1,075.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $634.20 / $733.49 / $1,399.79	Facility		$634.20	$733.49	$1,399.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $754.99 / $1,215.92 / $1,504.37	Professional		$754.99	$1,215.92	$1,504.37
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 $646.79 / $1,055.13 / $1,421.23	Professional		$646.79	$1,055.13	$1,421.23
United Facility/Professional Facility Modifier Low / Median / High Price $7,198.00 / $11,604.61 / $18,561.84	Facility		$7,198.00	$11,604.61	$18,561.84
United Facility/Professional Professional Modifier Low / Median / High Price $630.00 / $1,113.97 / $1,542.88	Professional		$630.00	$1,113.97	$1,542.88