Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $705.00 / $2,335.50 / $4,920.00	Facility		$705.00	$2,335.50	$4,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.50 / $705.00 / $727.50	Professional		$472.50	$705.00	$727.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $787.50 / $1,200.00 / $3,562.50	Facility		$787.50	$1,200.00	$3,562.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $675.00 / $1,558.24 / $5,625.00	Professional		$675.00	$1,558.24	$5,625.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $780.00 / $1,594.27 / $1,936.59	Facility		$780.00	$1,594.27	$1,936.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $750.00 / $1,275.00	Facility		$675.00	$750.00	$1,275.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $675.00 / $750.00 / $1,875.00	Professional		$675.00	$750.00	$1,875.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $675.00 / $825.00 / $1,312.50	Facility		$675.00	$825.00	$1,312.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $1,312.50 / $2,325.00	Facility		$750.00	$1,312.50	$2,325.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $675.00 / $937.50 / $1,132.50	Professional		$675.00	$937.50	$1,132.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $787.50 / $1,200.00 / $2,062.50	Facility		$787.50	$1,200.00	$2,062.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $829.50 / $1,459.38 / $1,743.82	Professional		$829.50	$1,459.38	$1,743.82
United Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $315.00 / $840.00	Professional		$315.00	$315.00	$840.00