Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.69 / $3,050.43 / $4,829.28	Facility		$953.69	$3,050.43	$4,829.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.91 / $574.91 / $953.69	Professional		$574.91	$574.91	$953.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $710.19 / $1,082.19 / $2,794.36	Facility		$710.19	$1,082.19	$2,794.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $608.73 / $1,405.24 / $5,072.78	Professional		$608.73	$1,405.24	$5,072.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $703.42 / $1,437.75 / $1,746.47	Facility		$703.42	$1,437.75	$1,746.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $608.73 / $676.37 / $1,690.92	Facility		$608.73	$676.37	$1,690.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $608.73 / $676.37 / $1,690.92	Professional		$608.73	$676.37	$1,690.92
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 $608.73 / $744.01 / $1,183.65	Facility		$608.73	$744.01	$1,183.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.37 / $1,183.65 / $2,029.11	Facility		$676.37	$1,183.65	$2,029.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.73 / $845.46 / $1,021.32	Professional		$608.73	$845.46	$1,021.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $710.19 / $1,109.92 / $1,860.02	Facility		$710.19	$1,109.92	$1,860.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $748.07 / $1,315.93 / $1,572.77	Professional		$748.07	$1,315.93	$1,572.77
United Facility/Professional Professional Modifier Low / Median / High Price $284.08 / $284.08 / $757.53	Professional		$284.08	$284.08	$757.53