Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,055.23 / $3,375.24 / $5,343.50	Facility		$1,055.23	$3,375.24	$5,343.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.65 / $523.87 / $523.87	Professional		$396.65	$523.87	$523.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $785.81 / $1,197.42 / $2,619.37	Facility		$785.81	$1,197.42	$2,619.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $673.55 / $1,533.35 / $5,612.93	Professional		$673.55	$1,533.35	$5,612.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.32 / $1,590.84 / $1,932.42	Facility		$778.32	$1,590.84	$1,932.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $673.55 / $748.39 / $1,870.98	Facility		$673.55	$748.39	$1,870.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $673.55 / $748.39 / $1,870.98	Professional		$673.55	$748.39	$1,870.98
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 $673.55 / $823.23 / $1,309.68	Facility		$673.55	$823.23	$1,309.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $748.39 / $1,309.68 / $2,245.17	Facility		$748.39	$1,309.68	$2,245.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.55 / $935.49 / $1,130.07	Professional		$673.55	$935.49	$1,130.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $785.81 / $1,197.42 / $2,058.07	Facility		$785.81	$1,197.42	$2,058.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $827.72 / $1,456.68 / $1,739.95	Professional		$827.72	$1,456.68	$1,739.95
United Facility/Professional Professional Modifier Low / Median / High Price $314.32 / $314.32 / $838.20	Professional		$314.32	$314.32	$838.20