Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $721.10 / $2,363.67 / $4,979.37	Facility		$721.10	$2,363.67	$4,979.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.20 / $713.51 / $736.28	Professional		$478.20	$713.51	$736.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $1,214.48 / $2,656.67	Facility		$797.00	$1,214.48	$2,656.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $683.15 / $1,870.74 / $5,692.88	Professional		$683.15	$1,870.74	$5,692.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $789.41 / $1,613.50 / $1,959.95	Facility		$789.41	$1,613.50	$1,959.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $683.14 / $759.05 / $1,897.62	Facility		$683.14	$759.05	$1,897.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $683.14 / $759.05 / $1,897.62	Professional		$683.14	$759.05	$1,897.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $759.05 / $759.05 / $1,062.67	Facility		$759.05	$759.05	$1,062.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.05 / $1,320.75 / $2,277.15	Facility		$759.05	$1,320.75	$2,277.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $683.15 / $948.81 / $1,146.17	Professional		$683.15	$948.81	$1,146.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $797.00 / $1,214.48 / $2,087.39	Facility		$797.00	$1,214.48	$2,087.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $839.51 / $1,483.09 / $1,859.20	Professional		$839.51	$1,483.09	$1,859.20
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $318.80 / $850.14	Professional		$318.80	$318.80	$850.14