Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.10 / $1,976.89 / $4,164.55	Facility		$603.10	$1,976.89	$4,164.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.95 / $596.75 / $615.79	Professional		$399.95	$596.75	$615.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $666.58 / $1,015.74 / $3,015.49	Facility		$666.58	$1,015.74	$3,015.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $571.36 / $1,554.59 / $4,761.30	Professional		$571.36	$1,554.59	$4,761.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.24 / $1,349.49 / $1,639.25	Facility		$660.24	$1,349.49	$1,639.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $571.36 / $634.84 / $1,079.23	Facility		$571.36	$634.84	$1,079.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $571.36 / $634.84 / $1,587.10	Professional		$571.36	$634.84	$1,587.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $634.84 / $634.84 / $888.78	Facility		$634.84	$634.84	$888.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $634.84 / $1,110.97 / $1,968.00	Facility		$634.84	$1,110.97	$1,968.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $571.36 / $793.55 / $958.61	Professional		$571.36	$793.55	$958.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $666.58 / $1,015.74 / $1,745.81	Facility		$666.58	$1,015.74	$1,745.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $702.13 / $1,240.46 / $1,554.59	Professional		$702.13	$1,240.46	$1,554.59
United Facility/Professional Professional Modifier Low / Median / High Price $266.63 / $266.63 / $711.02	Professional		$266.63	$266.63	$711.02