Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,016.00 / $8,500.00 / $22,024.00	Facility		$3,016.00	$8,500.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.17 / $532.17 / $635.00	Professional		$532.17	$532.17	$635.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,016.89 / $1,779.82 / $3,404.60	Facility		$1,016.89	$1,779.82	$3,404.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $189.04 / $263.70 / $293.97	Professional		$189.04	$263.70	$293.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.44 / $777.59 / $1,110.00	Facility		$511.44	$777.59	$1,110.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $393.56 / $681.92 / $1,723.14	Facility		$393.56	$681.92	$1,723.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $523.90 / $796.91	Professional		$13.10	$523.90	$796.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $496.00 / $1,520.00 / $79,999.20	Facility		$496.00	$1,520.00	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.51 / $350.25 / $350.25	Facility		$236.51	$350.25	$350.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,191.58 / $1,778.80 / $3,404.60	Facility		$1,191.58	$1,778.80	$3,404.60
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00