Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $1,868.40 / $3,936.00	Facility		$564.00	$1,868.40	$3,936.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $564.00 / $582.00	Professional		$378.00	$564.00	$582.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $960.00 / $2,100.00	Facility		$630.00	$960.00	$2,100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $1,246.98 / $4,500.00	Professional		$540.00	$1,246.98	$4,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $1,275.42 / $1,549.28	Facility		$624.00	$1,275.42	$1,549.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $540.00 / $600.00 / $1,500.00	Facility		$540.00	$600.00	$1,500.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $600.00 / $1,500.00	Professional		$540.00	$600.00	$1,500.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $840.00	Facility		$600.00	$600.00	$840.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,050.00 / $1,800.00	Facility		$600.00	$1,050.00	$1,800.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $750.00 / $906.00	Professional		$540.00	$750.00	$906.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $960.00 / $1,650.00	Facility		$630.00	$960.00	$1,650.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $663.60 / $1,107.58 / $1,469.93	Professional		$663.60	$1,107.58	$1,469.93
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $252.00 / $672.00	Professional		$252.00	$252.00	$672.00