Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.40 / $2,366.64 / $4,985.60	Facility		$714.40	$2,366.64	$4,985.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.80 / $714.40 / $737.20	Professional		$478.80	$714.40	$737.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $798.00 / $1,216.00 / $3,139.86	Facility		$798.00	$1,216.00	$3,139.86
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $1,579.27 / $5,700.00	Professional		$684.00	$1,579.27	$5,700.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $790.40 / $1,615.53 / $1,962.42	Facility		$790.40	$1,615.53	$1,962.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $684.00 / $760.00 / $1,900.00	Facility		$684.00	$760.00	$1,900.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $760.00 / $1,900.00	Professional		$684.00	$760.00	$1,900.00
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 $684.00 / $836.00 / $1,330.00	Facility		$684.00	$836.00	$1,330.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $1,330.00 / $2,280.00	Facility		$760.00	$1,330.00	$2,280.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $950.00 / $1,147.59	Professional		$684.00	$950.00	$1,147.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $798.00 / $1,247.16 / $2,090.00	Facility		$798.00	$1,247.16	$2,090.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $840.56 / $1,478.90 / $1,767.04	Professional		$840.56	$1,478.90	$1,767.04
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $319.20 / $851.20	Professional		$319.20	$319.20	$851.20