Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.92 / $2,451.19 / $5,163.70	Facility		$739.92	$2,451.19	$5,163.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.90 / $739.92 / $763.54	Professional		$495.90	$739.92	$763.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $826.51 / $1,259.44 / $2,755.03	Facility		$826.51	$1,259.44	$2,755.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $708.44 / $1,636.58 / $5,903.63	Professional		$708.44	$1,636.58	$5,903.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $818.64 / $1,673.25 / $2,032.53	Facility		$818.64	$1,673.25	$2,032.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $708.44 / $787.15 / $1,967.88	Facility		$708.44	$787.15	$1,967.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $708.44 / $787.15 / $1,967.88	Professional		$708.44	$787.15	$1,967.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $787.15 / $787.15 / $1,102.01	Facility		$787.15	$787.15	$1,102.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $787.15 / $1,377.51 / $2,361.44	Facility		$787.15	$1,377.51	$2,361.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $708.44 / $983.94 / $1,188.59	Professional		$708.44	$983.94	$1,188.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $826.51 / $1,259.44 / $2,164.66	Facility		$826.51	$1,259.44	$2,164.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $870.59 / $1,452.80 / $1,928.09	Professional		$870.59	$1,452.80	$1,928.09
United Facility/Professional Professional Modifier Low / Median / High Price $330.60 / $330.60 / $881.61	Professional		$330.60	$330.60	$881.61