Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.04 / $1,861.89 / $3,922.29	Facility		$562.04	$1,861.89	$3,922.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.68 / $562.04 / $579.97	Professional		$376.68	$562.04	$579.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $627.80 / $956.66 / $2,470.21	Facility		$627.80	$956.66	$2,470.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $538.12 / $1,242.82 / $4,484.33	Professional		$538.12	$1,242.82	$4,484.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.82 / $1,325.65 / $1,555.93	Facility		$621.82	$1,325.65	$1,555.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $538.12 / $597.91 / $3,012.87	Facility		$538.12	$597.91	$3,012.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $538.12 / $597.91 / $1,494.78	Professional		$538.12	$597.91	$1,494.78
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 $538.12 / $657.70 / $1,046.33	Facility		$538.12	$657.70	$1,046.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $597.91 / $1,046.33 / $1,793.73	Facility		$597.91	$1,046.33	$1,793.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $538.12 / $747.39 / $902.84	Professional		$538.12	$747.39	$902.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $627.80 / $981.17 / $1,644.25	Facility		$627.80	$981.17	$1,644.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $661.29 / $1,163.73 / $1,390.10	Professional		$661.29	$1,163.73	$1,390.10
United Facility/Professional Facility Modifier Low / Median / High Price $597.91 / $717.49 / $717.49	Facility		$597.91	$717.49	$717.49
United Facility/Professional Professional Modifier Low / Median / High Price $251.12 / $251.12 / $669.66	Professional		$251.12	$251.12	$669.66