Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.82 / $2,474.04 / $5,672.66	Facility		$746.82	$2,474.04	$5,672.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.53 / $746.82 / $770.66	Professional		$500.53	$746.82	$770.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $834.21 / $1,303.76 / $3,773.83	Facility		$834.21	$1,303.76	$3,773.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $715.04 / $2,244.96 / $5,958.68	Professional		$715.04	$2,244.96	$5,958.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $826.27 / $1,688.85 / $2,051.48	Facility		$826.27	$1,688.85	$2,051.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $715.04 / $794.49 / $1,350.63	Facility		$715.04	$794.49	$1,350.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $715.04 / $794.49 / $1,986.22	Professional		$715.04	$794.49	$1,986.22
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 $794.49 / $794.49 / $1,112.29	Facility		$794.49	$794.49	$1,112.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.49 / $1,390.36 / $2,383.46	Facility		$794.49	$1,390.36	$2,383.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $715.04 / $993.11 / $1,199.68	Professional		$715.04	$993.11	$1,199.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $834.21 / $1,310.91 / $2,184.85	Facility		$834.21	$1,310.91	$2,184.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $878.71 / $1,552.69 / $1,847.54	Professional		$878.71	$1,552.69	$1,847.54
United Facility/Professional Professional Modifier Low / Median / High Price $333.69 / $333.69 / $889.83	Professional		$333.69	$333.69	$889.83