Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,102.23 / $7,920.26 / $33,211.00	Facility		$1,102.23	$7,920.26	$33,211.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $622.77 / $865.06 / $1,691.37	Professional		$622.77	$865.06	$1,691.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,165.96 / $49,664.15 / $95,056.24	Facility		$8,165.96	$49,664.15	$95,056.24
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $898.59 / $1,518.69 / $5,659.80	Professional		$898.59	$1,518.69	$5,659.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17,132.00 / $17,691.00 / $36,898.00	Facility		$17,132.00	$17,691.00	$36,898.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $876.86 / $1,311.98 / $1,913.53	Professional		$876.86	$1,311.98	$1,913.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $811.87 / $1,491.86 / $56,216.48	Facility		$811.87	$1,491.86	$56,216.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $811.87 / $1,413.43 / $1,698.06	Professional		$811.87	$1,413.43	$1,698.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $157.25 / $973.64 / $1,580.95	Professional		$157.25	$973.64	$1,580.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $923.46 / $1,226.16 / $1,315.12	Facility		$923.46	$1,226.16	$1,315.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $881.09 / $881.09 / $882.92	Facility		$881.09	$881.09	$882.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $915.09 / $1,467.02 / $1,755.83	Professional		$915.09	$1,467.02	$1,755.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36,259.87 / $49,692.55 / $95,056.24	Facility		$36,259.87	$49,692.55	$95,056.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $898.59 / $1,270.08 / $1,710.79	Professional		$898.59	$1,270.08	$1,710.79
United Facility/Professional Facility Modifier Low / Median / High Price $3,960.00 / $16,613.00 / $43,830.00	Facility		$3,960.00	$16,613.00	$43,830.00
United Facility/Professional Professional Modifier Low / Median / High Price $848.76 / $1,157.40 / $1,880.78	Professional		$848.76	$1,157.40	$1,880.78