Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.80 / $1,640.23 / $4,723.20	Facility		$676.80	$1,640.23	$4,723.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.60 / $676.80 / $698.40	Professional		$292.60	$676.80	$698.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $756.00 / $1,152.00 / $2,974.61	Facility		$756.00	$1,152.00	$2,974.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $711.78 / $1,495.88 / $5,400.00	Professional		$711.78	$1,495.88	$5,400.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.80 / $1,530.50 / $1,859.13	Facility		$748.80	$1,530.50	$1,859.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $648.00 / $720.00 / $1,800.00	Facility		$648.00	$720.00	$1,800.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $648.00 / $720.00 / $1,800.00	Professional		$648.00	$720.00	$1,800.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $648.00 / $792.00 / $1,260.00	Facility		$648.00	$792.00	$1,260.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,260.00 / $2,160.00	Facility		$720.00	$1,260.00	$2,160.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $648.00 / $900.00 / $1,087.20	Professional		$648.00	$900.00	$1,087.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $756.00 / $1,152.00 / $1,980.00	Facility		$756.00	$1,152.00	$1,980.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $796.32 / $1,401.46 / $1,674.16	Professional		$796.32	$1,401.46	$1,674.16
United Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $806.40	Professional		$302.39	$302.39	$806.40