Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.49 / $2,635.28 / $5,551.53	Facility		$795.49	$2,635.28	$5,551.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.15 / $795.49 / $820.88	Professional		$533.15	$795.49	$820.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $888.58 / $1,354.03 / $2,961.94	Facility		$888.58	$1,354.03	$2,961.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $761.64 / $1,759.06 / $6,347.03	Professional		$761.64	$1,759.06	$6,347.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $880.13 / $1,798.93 / $2,185.19	Facility		$880.13	$1,798.93	$2,185.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $761.64 / $846.27 / $2,115.67	Facility		$761.64	$846.27	$2,115.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $761.64 / $846.27 / $2,115.67	Professional		$761.64	$846.27	$2,115.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $846.27 / $1,184.78	Facility		$846.27	$846.27	$1,184.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $1,480.97 / $2,538.81	Facility		$846.27	$1,480.97	$2,538.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $761.64 / $1,057.83 / $1,277.86	Professional		$761.64	$1,057.83	$1,277.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $888.58 / $1,354.03 / $2,327.23	Facility		$888.58	$1,354.03	$2,327.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $935.97 / $1,561.62 / $2,072.51	Professional		$935.97	$1,561.62	$2,072.51
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $355.43 / $947.82	Professional		$355.43	$355.43	$947.82