Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $681.50 / $2,257.65 / $4,756.00	Facility		$681.50	$2,257.65	$4,756.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.50 / $681.50 / $703.25	Professional		$507.50	$681.50	$703.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $761.25 / $1,160.00 / $2,537.50	Facility		$761.25	$1,160.00	$2,537.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $652.50 / $1,507.18 / $5,437.50	Professional		$652.50	$1,507.18	$5,437.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $754.00 / $1,541.13 / $1,872.04	Facility		$754.00	$1,541.13	$1,872.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $652.50 / $725.00 / $1,812.50	Facility		$652.50	$725.00	$1,812.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $652.50 / $725.00 / $1,812.50	Professional		$652.50	$725.00	$1,812.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $725.00 / $725.00 / $1,015.00	Facility		$725.00	$725.00	$1,015.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $725.00 / $1,268.75 / $2,175.00	Facility		$725.00	$1,268.75	$2,175.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $652.50 / $906.25 / $1,094.75	Professional		$652.50	$906.25	$1,094.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $761.25 / $1,160.00 / $1,993.75	Facility		$761.25	$1,160.00	$1,993.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $801.85 / $1,337.73 / $1,775.37	Professional		$801.85	$1,337.73	$1,775.37
United Facility/Professional Professional Modifier Low / Median / High Price $304.50 / $304.50 / $812.00	Professional		$304.50	$304.50	$812.00